Wagner, Nan Nelson

Wagner, Nan Nelson is an individual health care provider with primary practice located at 3550 N Interstate Ave , Portland OR 97227-1196. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, which is considered as her primary health care specialty. Wagner, Nan Nelson can be contacted via phone (503) 331-6185.

Contact Information

Primary practice address
3550 N Interstate Ave Portland OR 97227-1196
Phone: (503) 331-6185
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X RC00619 Oregon

Profile Details

NPI number 1447517008
LBN Legal business name Wagner, Nan Nelson
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Apr 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447517008 NPPES
Oregon Other RC00619 OREGON RCP LICENSE

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