| Johanna Faith Wagner, | |
| 
					10327 River Rd Ne, Keizer, OR 97303-9738  | |
| (541) 758-5900 | |
| Not Available | 
| Full Name | Johanna Faith Wagner | 
|---|---|
| Gender | Female | 
| Speciality | Counselor | 
| Location | 10327 River Rd Ne, Keizer, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871325977 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Johanna Faith Wagner, 3415 Se Powell Blvd, Portland, OR 97202-3371 Ph: (503) 234-9591  | Johanna Faith Wagner, 10327 River Rd Ne, Keizer, OR 97303-9738 Ph: (541) 758-5900  | 
Kirstie Swenson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1755 Lockhaven Dr Ne, Keizer, OR 97303 Phone: 253-224-2306  | |
Elizabeth A Bentz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6799 Westridge Ct N, Keizer, OR 97303 Phone: 971-388-0533  | |
Tamara Mccray,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 10327 River Rd Ne, Keizer, OR 97303 Phone: 541-758-5900  | |
Mr. Thomas Edward Stafford Iv, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 983 Plymouth Dr Ne, Keizer, OR 97303 Phone: 208-284-6320  | |
Jessica Rist,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Chemawa Rd N, Keizer, OR 97303 Phone: 503-399-3147  | |
Mr. Justin Scott Nielsen, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 3793 River Rd N, Keizer, OR 97303 Phone: 503-304-4358 Fax: 503-304-4361  | |
Stephanie Lynn Vieu, M.S., LPC, CADC II Counselor Medicare: Medicare Enrolled Practice Location: 4979 Shoreline Dr N, Keizer, OR 97303 Phone: 541-419-1643  |