Organization
MIDORI FERRIS WAYNE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIDORI FERRIS WAYNE (OWNER)
(707) 327-7700
Entity
Organization
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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