MARY BETH WAGNER (NPI# 1497397616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497397616 |
| Entity Type | Individual |
| Full Name | MARY BETH WAGNER |
| Practice Address |
1400 Executive Pkwy Ste 220 Eugene OR 97401-7109 |
| Practice Telephone | 5413451669 |
| Practice Fax Number | 5413592238 |
| Mailing Telephone | 5413451669 |
| Mailing Fax Number | 5413592238 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 25074 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753185 | Mary Elizabeth Wagner | Registered Nurse | 1804 Connemara Ln, Lafayette, IN 47905-7935 | 2020-08-31 |
| 1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
| 1720361033 | Mary Elaine Wagner | Pharmacist | 1364 Westdale Ave, Winter Park, FL 32792-6059 | 2011-09-22 |
| 1669622049 | Mary Ellen Wagner | Speech-Language Pathologist | 8437 Northcote Ave, Munster, IN 46321-2023 | 2008-09-23 |
| 1518050731 | Mary Abigail Wagner | Counselor | 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 | 2006-10-02 |
| 1043251358 | Mary Jo Wagner | Occupational Therapist | 54 Parramatta Rd, Beverly, MA 01915-1970 | 2006-06-09 |
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1144702606 | Mary Wagner | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-08-31 |
| 1902329394 | Mary Elizabeth Wagner | Speech-Language Pathologist | 525 W Oakland Ave, Johnson City, TN 37604-1672 | 2017-07-18 |
| 1558896233 | Mary A. Wagner | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247 | 2017-05-01 |
| Street Address |
1400 EXECUTIVE PKWY STE 220 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548242183 | Bradley K Rethwill | Chiropractor | 1400 Executive Pkwy Ste 220, Eugene, OR 97401-7109 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1811503428 | Steven J Fletcher | Massage Therapist | 505 E 34th Ave, Eugene, OR 97405-3840 | 2020-09-18 |
| 1295350395 | Miriam Newman-paul | Massage Therapist | 260 Oakway Ctr, Eugene, OR 97401-5663 | 2020-06-15 |
| 1063043057 | Rachel Loraine Klemmer | Massage Therapist | 1789 Camelot Ave, Eugene, OR 97404-2689 | 2020-01-29 |
| 1801426838 | David Levin | Massage Therapist | 3575 Donald St Ste 620, Eugene, OR 97405-4775 | 2020-01-17 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1962046235 | Dawn Cypress Broadnax | Massage Therapist | 150 Shelton Mcmurphey Blvd Ste 207, Eugene, OR 97401-5015 | 2019-10-30 |
| 1568013050 | Cassie Cowen | Massage Therapist | 1601 Willamette St # 2, Eugene, OR 97401-4013 | 2019-09-25 |
| Find all providers in EUGENE | ||||
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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.