Individual provider Active NPI

Wendy Reimann, MA

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1326416900
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
R3790 Issued in OR
Practice address
1280 NW Saltzman Rd
Portland, OR 97229-5642
Phone
(503) 799-8572
Fax
(503) 477-9321
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X R3790 OR Primary

Addresses

Primary practice location

1280 NW Saltzman Rd
Portland, OR 97229-5642

Mailing address

4804 NW Bethany Blvd
I-2 #114
Portland, OR 97229-9195
Phone (503) 799-8572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410000716 OR Practitioner - Marriage and Family Therapist 1153769120 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 NW Greeley Ave
Bend, OR 97703-2943
Phone (503) 799-8572

61165 S Hwy 97
Suite 110 PMB 117
Bend, OR 97702-4012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R3790ORMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1326416900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 NW BETHANY BLVD",
            "address_2": "I-2 #114",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972299195",
            "telephone_number": "503-799-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 NW SALTZMAN RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295642",
            "telephone_number": "503-799-8572",
            "fax_number": "503-477-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMANN",
        "first_name": "WENDY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R3790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.