GLAVIS M WAGNER
NPI 1720587553
Prevention Professional in Pendleton, OR

Active since February 07, 2018
46314 TIMINE WAY, PENDLETON, OR 97801(541) 966-9830 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2020, Jul 10, 2018, Apr 24, 2018 (3 updates tracked since 2018).

About Glavis M Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLAVIS M WAGNER (NPI 1720587553) is an individual prevention professional provider in Pendleton, Oregon, licensed in Oregon (17-CRM-217) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1720587553
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameGLAVIS M WAGNER
Location Address46314 TIMINE WAYPendleton, OR 97801
Mailing Address46314 Timine WayPendleton, OR 97801-9417 · (541) 966-9830 · Fax (541) 278-7568
Sole ProprietorNo
Enumeration DateFebruary 7, 2018
Last NPPES UpdateJuly 23, 20203 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1720587553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License Licensed in OR · 17-CRM-217
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17-CRM-217 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License THW000002415 (OR)
46314 TIMINE WAY, Pendleton, OR 97801

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
46314 TIMINE WAY
PENDLETON, OR 97801
Peer Specialist
46314 TIMINE WAY
PENDLETON, OR 97801
Registered Nurse
46314 TIMINE WAY
PENDLETON, OR 97801
Pharmacist
46314 TIMINE WAY
PENDLETON, OR 97801
Registered Nurse
46314 TIMINE WAY
PENDLETON, OR 97801
Counselor (Addiction (Substance Use Disorder))
46314 TIMINE WAY
PENDLETON, OR 97801
Physical Therapy Assistant
46314 TIMINE WAY
PENDLETON, OR 97801
Counselor (Mental Health)
46314 TIMINE WAY
PENDLETON, OR 97801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glavis Wagner's NPI number?

The NPI number for Glavis Wagner is 1720587553. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Glavis Wagner located?

Glavis Wagner practices at 46314 Timine Way, Pendleton, OR 97801. The listed phone number is (541) 966-9830.

What is Glavis Wagner's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Glavis Wagner was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.