Midori Ferris Wayne
Marriage & Family Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1497465504
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1497465504
- Entity type
- Individual (NPI-1)
- Name
- Midori Ferris Wayne
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | R8007 | OR | Yes |
Practice location
4125 Sw Dogwood LnPortland, OR 97225-2034
Phone 707-327-7700
Mailing address
4125 Sw Dogwood LnPortland, OR 97225-2034
Phone 707-327-7700
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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