Shannon Rose Wagner, OTD, OTR/L Valid NPI

Individual provider · Occupational Therapist · Wilsonville, OR

NPI

1407518616

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

350329 (OR)

Sex

Female

Sole proprietor

No

Enumerated

2021-10-06

Last updated

2026-02-19