Dr Katje Wagner, PHD, LPC is a
Counselor based in Portland, Oregon. Dr Katje Wagner is licensed to practice in * (Not Available) (license number ) and her current practice location is
1942 Nw Kearney St Ste 23, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 313-5733.
NPI number for Dr Katje Wagner is 1114196680 and her current mailing address is 1942 Nw Kearney St Ste 23, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114196680.
Healthcare Provider's Profile
| Full Name | Dr Katje Wagner |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 1942 Nw Kearney St Ste 23, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114196680
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 04/03/2024
Medical Identifiers
Medical identifiers for Dr Katje Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114196680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | 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 Katje 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 Address | Practice Location Address |
|---|
Dr Katje Wagner, PHD, LPC
1942 Nw Kearney St Ste 23,
Portland, OR 97209-1465
Ph: (503) 313-5733 | Dr Katje Wagner, PHD, LPC
1942 Nw Kearney St Ste 23,
Portland, OR 97209-1465
Ph: (503) 313-5733 |
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