| Doctor Name: | NAN NELSON WAGNER |
| NPI Number: | 1447517008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RRT |
| License Number: | RC00619 |
| Business Practice Address: | 3550 N Interstate Ave Portland, OR - 972271196 |
| Business Phone Number: | 5033316185 |
| Business Fax Number: | |
| Mailing Address: | 9617 Sw 2nd Ave, PORTLAND |
| State: | OR |
| Postal Code: | 972196503 |
| Phone Number: | 5037991463 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2012 |
| NPI Last Update Date: | 04/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 227900000X |
| License Number: | RC00619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |