Dr Amy W Wagner, PHD - Psychologist in Portland, OR

Dr Amy W Wagner, PHD is a Psychologist based in Portland, Oregon. Dr Amy W Wagner is licensed to practice in Washington (license number 2491) and her current practice location is 3710 Sw Us Veterans Hospital Rd, V3-satp, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 220-8262.

NPI number for Dr Amy W Wagner is 1003827965 and her current mailing address is 4205 Nw Spruce St, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003827965.

Contact Information

Dr Amy W Wagner, PHD
3710 Sw Us Veterans Hospital Rd, V3-satp,
Portland, OR 97239-2964
(503) 220-8262
(360) 737-1419



Healthcare Provider's Profile

Full NameDr Amy W Wagner
GenderFemale
SpecialityPsychologist
Location3710 Sw Us Veterans Hospital Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003827965
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Amy W Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003827965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 2491 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amy W Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Amy W Wagner, PHD
4205 Nw Spruce St,
Vancouver, WA 98660-1655

Ph: (360) 750-0506
Dr Amy W Wagner, PHD
3710 Sw Us Veterans Hospital Rd, V3-satp,
Portland, OR 97239-2964

Ph: (503) 220-8262

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› Verified 3 days ago


Psychologist in Portland, OR

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