Individual
CORINNE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
(888) 835-4257
Mailing address
1475 CAPITOL ST NE, SALEM, OR 97301-7850
(971) 599-1712
(888) 835-4257
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016526
OR
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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