NAN NELSON WAGNER (NPI# 1447517008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447517008 |
| Entity Type | Individual |
| Full Name | NAN NELSON WAGNER |
| Credential | RRT |
| Practice Address |
3550 N Interstate Ave Portland OR 97227-1196 |
| Mailing Address |
9617 Sw 2nd Ave Portland OR 97219-6503 |
| Practice Telephone | 5033316185 |
| Mailing Telephone | 5037991463 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227900000X | Respiratory Therapist, Registered | RC00619 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON RCP LICENSE | RC00619 | 01 |
| Street Address |
3550 N INTERSTATE AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335295 | Brenda R Annotti | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227 | 2005-06-08 |
| 1124633326 | Ajna Rae | Counselor | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2020-09-14 |
| 1649822420 | Rosa Ahn | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-07-12 |
| 1154882132 | Casey Grad Granbois | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-03-30 |
| 1750855425 | Julie Catherine Leffler | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2019-01-16 |
| 1487125738 | John Mark Custer | Social Worker | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2018-12-16 |
| 1548776842 | Heather Jacobs | Registered Nurse | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2017-12-21 |
| 1245764075 | Ryan Nesbit | Student in an Organized Health Care Education/Training Program | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2017-04-19 |
| 1023552460 | Chia Neng Vang | Pharmacist | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2016-12-04 |
| 1295278307 | Fideliz Enrile Lim | Pharmacist | 3550 N Interstate Ave, Portland, OR 97227-1196 | 2016-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 227900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Registered |
| A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896809 | Keith Alan Knittle | Respiratory Therapist, Registered | 3710 Sw Us Veterans Hospital Rd Ste P3pulm, Portland, OR 97239-2964 | 2017-12-12 |
| 1881942464 | Stephanie L Snell | Respiratory Therapist, Registered | 301 Ne 70th Ave, Portland, OR 97213 | 2012-08-29 |
| 1366052151 | Hayley Marie Hall | Respiratory Therapist, Registered | 1010 Se Stark St, Portland, OR 97214-1336 | 2020-08-06 |
| 1326665506 | Katie Jo Long | Respiratory Therapist, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-07-02 |
| 1952878829 | Mindy Lynn Stoehr | Respiratory Therapist, Registered | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2018-10-30 |
| 1346667607 | Rhonda Vosmus | Respiratory Therapist, Registered | 84 Marginal Way, Suite 700, Portland, ME 04101-2443 | 2014-03-25 |
| 1740508431 | Caroline Evanado | Respiratory Therapist, Registered | 39 Ne 102nd Ave, Portland, OR 97220-4103 | 2010-05-06 |
| 1326376518 | Aleksey Syulyukov | Respiratory Therapist, Registered | 500 Ne Multnomah St, Suite 100, Portland, OR 97232-2023 | 2009-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698143 | Crystal Ann Miller | Respiratory Therapist, Registered | 77 Sw Riverview Pl, Gresham, OR 97080-6773 | 2019-09-13 |
| 1174050496 | Carl Eckrode | Respiratory Therapist, Registered | 5833 Se Lloyd St, Milwaukie, OR 97222-2779 | 2017-05-17 |
| 1871043794 | Bethany Wacker | Respiratory Therapist, Registered | 2000 Brookhurst St Apt 13, Medford, OR 97504-5446 | 2016-10-04 |
| 1821457359 | Robert Lewis Gulley | Respiratory Therapist, Registered | 1405 Filbert St, Lebanon, OR 97355-4018 | 2016-02-11 |
| 1205215332 | Mehrdad Gerami | Respiratory Therapist, Registered | 1957 Thompson Rd Ste G, Coos Bay, OR 97420-2040 | 2015-05-21 |
| 1972830321 | Laura E Penkava | Respiratory Therapist, Registered | 1135 Dale St Se, Suite C, Albany, OR 97322-5392 | 2009-11-05 |
| 1528297843 | Advanced Respiratory Diagnostic | Respiratory Therapist, Registered | 724 S Central Ave, Suite 114, Medford, OR 97501-7851 | 2009-07-08 |
| 1063650760 | Randy E Romero | Respiratory Therapist, Registered | 511 Honeycutt Dr, Grants Pass, OR 97526-9114 | 2009-02-03 |
| 1902056112 | Martin Wesley Almandinger Jr. | Respiratory Therapist, Registered | 10090 Se Sunnyside Rd, Clackamas, OR 97015-9764 | 2008-09-24 |
| 1881883239 | Stewart Alexander Hamilton | Respiratory Therapist, Registered | 24828 Hwy 38 Spc 1, Elkton, OR 97436-9500 | 2007-10-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.