Stafford, Glynis M.

Stafford, Glynis M. is an sole proprietor health care provider with primary practice located at 4900 Sw Griffith Dr Suite 200, Beaverton OR 97005-5607. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Stafford, Glynis M. can be contacted via phone (503) 703-9682.

Contact Information

Primary practice address
4900 Sw Griffith Dr Suite 200 Beaverton OR 97005-5607
Phone: (503) 703-9682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X C3055 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X C3055 Oregon

Profile Details

NPI number 1417083163
LBN Legal business name Stafford, Glynis M.
Credentials MA, LPC, DBTC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 18th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417083163 NPPES
Oregon Other C3055 LPC

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