Individual provider · Type 1 NPI

Wayne Marcus Mortensen, MD

Diagnostic Radiology Physician · Boise, ID

NPI number 1780878314 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-2094 Map

Fax (208) 381-1791

Mailing address

PO Box 1108
Corvallis, OR 97339-1108

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X0116019824 (VA)
Student in an Organized Health Care Education/Training Program 390200000X7152301-1205 (UT)
Student in an Organized Health Care Education/Training Program 390200000X7152301-8905 (UT)
Diagnostic Radiology Physician Primary 2085R0202XM12065 (ID)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1780878314

Wayne Marcus Mortensen, MD's National Provider Identifier is 1780878314, issued on Aug 27, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Jan 10, 2018.