MS. Juniper Elizabeth Wagner
MS. Juniper Elizabeth Wagner is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3036 NE Mlk Jr BlvdPortland, OR 97212-3053
Phone: (503) 283-3763
Fax: (503) 735-0912
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1063954428 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 16, 2016 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
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