Stephanie Nicole Wagner
Stephanie Nicole Wagner is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
2600 SE Belmont StPortland, OR 97214-2916
Phone: (503) 239-5738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence T-20-431 (OR) |
|---|
Record details
| NPI number | 1902493240 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 21, 2020 |
| Last updated in NPPES | December 21, 2020 |
| Certification date | December 21, 2020 |
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