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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON ROSE WAGNER, OTD, OTR/L

Active

DR. SHANNON ROSE WAGNER, OTD, OTR/L is a Occupational Therapist healthcare provider located in WILSONVILLE, Oregon. NPI 1407518616 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WILSONVILLE, OR

Registration Details

NPI Number
1407518616
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2021 (4.6707798003193 yrs)
Last Updated
Feb 19, 2026
Licenses
350329 (OR)
350329 (OR)
350329 (OR)

Practice Information

Address
27501 SW 95TH AVE STE 960
WILSONVILLE, OR, 970707713
Browse OR providers · Browse ZIP 97070
Phone
5036578903
Fax
5032668632
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in WILSONVILLE, OR

Name Credential NPI
MRS. CARRIE ANNE YOUNG OTRL 1417006487
OLGA CARLSTROM 1083806236
MRS. CARLA YVONNE HAYDEN OTR/L 1053508887
MS. SARAH S REYNOLDS OTR/L 1538356613
SARAH CHRISTINA AARDSMA M.O.T. 1619153178
MS. JOYCE WANGSGARD BROWN OTR 1154581163
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.