Christian Micaiah Wagner, | |
29100 Sw Town Center Loop W Ste 190, Wilsonville, OR 97070-9317 | |
(503) 443-6156 | |
Not Available |
Full Name | Christian Micaiah Wagner |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 2 Years |
Location | 29100 Sw Town Center Loop W Ste 190, Wilsonville, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417692351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Associates Inc | 0042116279 | 297 |
Provider Name | Therapeutic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
---|---|
Christian Micaiah Wagner, 16083 Sw Upper Boones Ferry Rd Ste 300, Portland, OR 97224-7736 Ph: (503) 443-6156 | Christian Micaiah Wagner, 29100 Sw Town Center Loop W Ste 190, Wilsonville, OR 97070-9317 Ph: (503) 443-6156 |
Mrs. Jaime Leigh Dutra Doppee, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25030 Sw Parkway Ave, 101, Wilsonville, OR 97070 Phone: 503-582-1073 Fax: 503-582-1093 | |
Marcia E. Powell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jessica Kele Kathleen Murdin, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Kristine J Spencer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8890 Sw Holly Ln, Suite B, Wilsonville, OR 97070 Phone: 503-682-7565 Fax: 503-682-8750 | |
Mr. Ian Andrew Mclean, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30900 Sw Parkway Ave, Wilsonville, OR 97070 Phone: 503-682-2840 Fax: 503-682-2869 | |
Mrs. Anne Eileen Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 503-570-3665 | |
Jennifer Lynne Rees-gross, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070 Phone: 402-871-3843 |