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

Mr. Daniel Wayne Ingham, CRM

Individual provider Peer Specialist · NPI 1083357339

Mr. Daniel Wayne Ingham, CRM is a Peer Specialist in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

1003 E Main St Ste 104
Medford, OR 97504-7140
Phone: (541) 779-1282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 22-CRM-978 (OR)

Record details

NPI number1083357339
Entity typeIndividual (Type 1)
GenderMale
Credentials CRM
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address1003 E Main St Ste 104, Medford, OR 97504-7140

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