Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wayne Marcus Mortensen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780878314

Dr. Wayne Marcus Mortensen, MD is a Diagnostic Radiology in Boise, Idaho. Graduated from George Washington University School of Medicine in 2007, 19 years ago. Practices with Weiser Valley Hospital District, a 60-clinician group and accepts Medicare assignment. Licensed in Idaho, Utah and Virginia.

Years since qualifying
19
Trained at
George Washington University School of Medicine
Licensed in
ID, UT, VA
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-2094
Fax: (208) 381-1791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence M12065 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0116019824 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 7152301-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 7152301-8905 (UT)

Record details

NPI number1780878314
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 27, 2007
Last updated in NPPESJanuary 10, 2018
Mailing addressPo Box 1108, Corvallis, OR 97339-1108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Weiser Valley Hospital District — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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