Individual
STEPHANIE ANN WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1661 HOLLY AVE, EUGENE, OR 97408-7173
(503) 224-1998
(503) 224-5176
Mailing address
5200 SW MADADAM AVE, STE 100, PORTLAND, OR 97239
(503) 224-1998
(503) 224-5176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1023745
OR
Other
Enumeration date
07/25/2006
Last updated
09/29/2008
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