JEFFREY D WAGAMAN CP

Dr JEFFREY D WAGAMAN CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1990.

Contact

2100 CATON WAY SW
OLYMPIA
WA
985021105

Tel:

JEFFREY D WAGAMAN CP Information

Npi 1447377221
Pac Id 1850352832
Professional Enrollment Id I20041022000688
Last Name WAGAMAN
First Name JEFFREY
Middle Name D
Suffix
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2100 CATON WAY SW
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OLYMPIA
State WA
Zip Code 985021105
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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