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WENDY GRAHAM
NPI 1588208441
Counselor - Professional in Portland, OR

Active since November 04, 2019PECOS Enrolled
17640 NE HALSEY ST, PORTLAND, OR 97230(503) 489-5045(503) 489-5638 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Sep 8, 2021, Feb 14, 2020 and 1 more (4 updates tracked since 2019).

About Wendy Graham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY GRAHAM (NPI 1588208441) is an individual professional provider in Portland, Oregon and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588208441
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameWENDY GRAHAM
Location Address17640 NE HALSEY STPortland, OR 97230-6733
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 489-5045
Fax(503) 489-5638
Sole ProprietorNo
Enumeration DateNovember 4, 2019
Last NPPES UpdateMay 19, 20264 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1588208441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
17640 NE HALSEY ST, Portland, OR 97230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wendy Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LACY
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
AMANDA DREHER
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JEWELL COLBERT
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
MARIAH BARCINAS
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
JERI DARR
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 654-7654
SHANIQUA BURTON
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
ANGELINA CYNTHIA JEAN CORONA
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045
GRACEE HEART
Counselor (Mental Health)
17640 NE HALSEY ST
PORTLAND, OR 97230
Multnomah County (503) 489-5045

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Graham's NPI number?

The NPI number for Wendy Graham is 1588208441. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Wendy Graham located?

Wendy Graham practices at 17640 NE Halsey St, Portland, OR 97230. The listed phone number is (503) 489-5045.

What is Wendy Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Wendy Graham enrolled in Medicare?

Yes. Wendy Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wendy Graham was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.