About Lisa Wagoner
She is located at 400 Crater Lake Ave, , in Medford, OR 97504. Appointment can be made via the phone number (541) 613-6505.
Lisa Wagoner - Address, Phone & Website
400 Crater Lake Ave, , Medford, OR 97504
(541) 613-6505
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Physical Therapy Assistant | 225200000X |
| No | Physical Therapy Assistant | 225200000X |
Licenses
| State | License Number |
|---|---|
| Oregon | 8785 |
| Idaho | PTA-2842 |