Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DERRICK WOHALI RADFORD MA, LPC
NPI 1770274482
Counselor - Professional in Portland, OR

Q: What is Derrick Radford's NPI number?

The NPI number for Derrick Radford is 1770274482. It was assigned to this individual provider in the NPPES registry on May 15, 2023. The provider is also known as Wohali Radford Ma, Lpc.

Q: What is Derrick Radford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Radford was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.

Active since May 15, 2023PECOS Enrolled

5441 S MACADAM AVE STE A, PORTLAND, OR 97239(971) 290-4398 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 23, 2026, Apr 8, 2025, Dec 7, 2024 and 4 more (7 updates tracked since 2023).

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About Derrick Wohali Radford Ma, Lpc NPPES

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

DERRICK WOHALI RADFORD MA, LPC (NPI 1770274482) is an individual professional provider in Portland, Oregon, licensed in Oregon (C8621) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770274482

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDERRICK WOHALI RADFORDCredential: MA, LPC

Location Address5441 S MACADAM AVE STE APortland, OR 97239-3822

Mailing Address5441 S Macadam Ave Ste APortland, OR 97239-3822 · (971) 290-4398

Phone(971) 290-4398

Sole ProprietorYes

Enumeration DateMay 15, 2023

Last NPPES UpdateJuly 23, 20267 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1770274482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C8621

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 61660503 (WA)

5441 S MACADAM AVE STE A, Portland, OR 97239

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Other Names 1

Professional Name (2)Wohali Radford Ma, Lpc

Other Identifiers 1

OtherC8621OR · Oblpct

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Wohali Radford Ma, Lpc 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.

DORIS IFEOMA AGU DNP, MSN, MPH, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)