Glenn Maynard, LPC

NPI 1548430374 · on the registry since 2008 · sole proprietor

Practice

Address: 1020 Sw Taylor St
Suite 370
Portland, OR 97205
Phone: (503) 295-6265
Fax: (503) 232-1969
Organisation at this address: Midstream
Anicca Llc
Allbutter Llc
Janz Consulting
Swp Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 94

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon