KAJA WAGNER (NPI# 1902354764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902354764 |
| Entity Type | Individual |
| Full Name | KAJA WAGNER |
| Practice Address |
Oregon State Hospital 2600 Center St Ne Pharmacy Department Salem OR 97301 |
| Practice Telephone | 4252210947 |
| Practice Fax Number | 5039471085 |
| Mailing Telephone | 4252210947 |
| Mailing Fax Number | 5039471085 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
RPH-0015583 | OR | Pharmacy Service Providers |
| Street Address |
OREGON STATE HOSPITAL 2600 CENTER ST NE PHARMACY DEPARTMENT |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386053619 | Albert Chira | Pharmacist | 2600 Center St Ne, Pharmacy Department, Salem, OR 97301-2669 | 2014-08-12 |
| 1891923207 | Michelle Lynn Radtke | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2009-06-24 |
| 1619049525 | Anne Carlisle Kidd | Pharmacist | 1902 Braeburn Dr, Salem, VA 24153-7304 | 2006-11-15 |
| 1003875220 | Joanne Milan Hawley | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033311899 | Dara Lynn Slunaker | Pharmacist | 10202 Se 32nd Ave Ste 701, Milwaukie, OR 97222-3625 | 2007-06-04 |
| 1154328664 | Edyth Adele Willard | Pharmacist | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2005-06-30 |
| 1548733017 | Tyler Casey | Pharmacist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2019-01-08 |
| 1518443522 | Brandon L. Matacic | Pharmacist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-07-12 |
| 1649794751 | Cassandra Abeyta | Pharmacist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2017-07-31 |
| 1609968718 | Frank Dougal | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-09-28 |
Please comment or provide details below to improve the information on KAJA WAGNER.
| 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.