Individual
MIDORI FERRIS WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4125 SW DOGWOOD LN, PORTLAND, OR 97225-2034
(707) 327-7700
Mailing address
4125 SW DOGWOOD LN, PORTLAND, OR 97225-2034
(707) 327-7700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8007
OR
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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