MARY BETH WAGNER NPI 1497397616

NPI Information

  • NPI: 1497397616
  • Provider Name: MARY BETH WAGNER
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1400 EXECUTIVE PKWY STE 220
    EUGENE, OR
    ZIP 97401
  • Phone: (541) 345-1669

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NPI Details

Mary Beth Wagner is a massage therapist in Eugene, OR. The provider is 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. Mary Beth Wagner NPI is 1497397616. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 EXECUTIVE PKWY STE 220
EUGENE, OR
ZIP 97401-109
Phone: (541) 345-1669
Fax: (541) 359-2238

The enumeration date for this NPI number is 10/9/2019 and was last updated on 10/9/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist25074OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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