Individual
DR. KATJE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
1942 NW KEARNEY ST STE 23, PORTLAND, OR 97209-1465
(503) 313-5733
Mailing address
1942 NW KEARNEY ST STE 23, PORTLAND, OR 97209-1465
(503) 313-5733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
02/28/2008
Last updated
04/03/2024
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