NPI age
18 years
Enumerated 2007-08-27
● Active
Type 1 · Individual
DR. Wayne Marcus Mortensen, M.D.
Mortensen is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
ID, VA, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2018-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
18 years
≈ at median (19 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
Po Box 1108
Corvallis, OR 973391108
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 248 Radiology providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.