Individual
MRS. CINDY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(509) 203-5433
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OR
Other
Enumeration date
10/03/2025
Last updated
10/24/2025
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