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ANTHONY JOSEPH WAGNER
NPI 1790050433
Counselor in Salem, OR

Active since March 13, 2012
3878 BEVERLY AVE NE, BUILDING H, SALEM, OR 97305(503) 576-4692 Get Directions Write a Review

NPPES record last updated: March 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Joseph Wagner NPPES

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

ANTHONY JOSEPH WAGNER (NPI 1790050433) is an individual counselor in Salem, Oregon and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1790050433
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameANTHONY JOSEPH WAGNER
Location Address3878 BEVERLY AVE NE, BUILDING HSalem, OR 97305-1394
Mailing Address5285 Sw Nash AveCorvallis, OR 97333-9312 · (503) 459-7199
Phone(503) 576-4692
Sole ProprietorNo
Enumeration DateMarch 13, 2012
✔ NPI 1790050433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3878 BEVERLY AVE NE, Salem, OR 97305
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Other Providers at the Same Location NPPES 14

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

ELINOR TAYLOR QMHP
Counselor (Mental Health)
3878 BEVERLY AVE NE, SUITE H
SALEM, OR 97305
Marion County (503) 576-4600
WENDY LEE PATZKE BS, QMHA, CADC I
Counselor (Addiction (Substance Use Disorder))
3878 BEVERLY AVE NE
SALEM, OR 97305
Marion County (503) 399-0670
JOHN ACKLEY CADC II, CGAC I,QMHA
Counselor
3878 BEVERLY AVE NE, BLDG H, SUITE 5
SALEM, OR 97305
Marion County (503) 399-0670
MADELYN JO KOONTZ RD, LD
Dietitian, Registered
3878 BEVERLY AVE NE
SALEM, OR 97305
Marion County (503) 363-6065
MELINDA ROSSOW
Social Worker
3878 BEVERLY AVE NE, BLDG H, SUITE 11
SALEM, OR 97305
Marion County (503) 576-4571
DWAYNE GRAVES CRM
Counselor (Addiction (Substance Use Disorder))
3878 BEVERLY AVE NE, BUILDING H SUITE 5
SALEM, OR 97305
Marion County (503) 399-0670
DR. JONATHAN CHRYSTAL QMHP
Counselor (Mental Health)
3878 BEVERLY AVE NE, H SUITE 11
SALEM, OR 97305
Marion County (503) 576-4600
ROSEMARY GUILD
Community Health Worker
3878 BEVERLY AVE NE, BLDG. H SUITE 11
SALEM, OR 97305
Marion County (503) 576-4600

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 Anthony Wagner's NPI number?

The NPI number for Anthony Wagner is 1790050433. It was assigned to this individual provider in the NPPES registry on March 13, 2012.

Where is Anthony Wagner located?

Anthony Wagner practices at 3878 Beverly Ave NE Building H, Salem, OR 97305. The listed phone number is (503) 576-4692.

What is Anthony Wagner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Anthony Wagner was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.