COREY WAGNER
NPI 1861203036
Counselor - Addiction (Substance Use Disorder) in Portland, OR
About Corey Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COREY WAGNER (NPI 1861203036) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (25-CRM-4021) and active in the NPI registry since January 2025.
NPPES Registry Identity
Specialties & Licenses
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.
PORTLAND, OR 97212
PORTLAND, OR 97212
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 Corey Wagner's NPI number?
The NPI number for Corey Wagner is 1861203036. It was assigned to this individual provider in the NPPES registry on January 16, 2025.
Where is Corey Wagner located?
Corey Wagner practices at 1817 NE 6th Ave, Portland, OR 97212. The listed phone number is (503) 719-7985.
What is Corey Wagner's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Corey Wagner was last updated on January 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
