CHRISTINE GENEVIEVE GLENN


Address: 1815 Nw Flanders St, Portland, OR 97209-2060
Phone: 5032436720

CHRISTINE GENEVIEVE GLENN (NPI# 1356544647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356544647
Entity Type Individual
Full Name CHRISTINE GENEVIEVE GLENN
Credential PHD.
Practice Address 1815 Nw Flanders St
Portland
OR 97209-2060
Mailing Address 7106 Sw 33rd Ave
Portland
OR 97219-1851
Practice Telephone 5032436720
Mailing Telephone 5034528087
Enumeration Date 2007-06-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103T00000X Psychologist 504 OR Behavioral Health & Social Service Providers
X 103TC0700X Psychologist
Specialization: Clinical
504 OR Behavioral Health & Social Service Providers

Other Providers CHRISTINE GLENN

NPI Name Taxonomy Address Enumeration
1528307295 Christine C Glenn Nurse Anesthetist, Certified Registered 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 2013-01-31

Office Location

Street Address 1815 NW FLANDERS ST
City PORTLAND
State OR
Zip Code 97209-2060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225257637 Bonnie B Mclean Social Worker 1815 Nw Flanders St, Ste. 101, Portland, OR 97209-2060 2007-04-24
1316342116 Margaret Boyd Massage Therapist 1815 Nw Flanders St, Portland, OR 97209-2060 2014-10-23
1679993240 Claire J Lauder Massage Therapist 1815 Nw Flanders St, L102 & 202, Portland, OR 97209-2060 2014-04-23
1821439449 Hannah Leigh Edlefsen Massage Therapist 1815 Nw Flanders St, Suite L102, Portland, OR 97209-2060 2013-07-11
1790079101 Tod Evan Fiste Counselor 1815 Nw Flanders St, Suite 101, Portland, OR 97209-2060 2011-06-02
1366754590 Dr.niti's Naturalways Pediatrics Clinic/Center 1815 Nw Flanders St, Suite 104, Portland, OR 97209-2060 2010-07-02
1265694251 Mark J Girard Social Worker 1815 Nw Flanders St, Ste 203, Portland, OR 97209-2060 2008-06-30
1679786685 Candice Hammett Everett Social Worker 1815 Nw Flanders St, Suite 202, Portland, OR 97209-2060 2007-05-07
1578784476 Suzan A Anson Psychologist 1815 Nw Flanders St, Suite 102, Portland, OR 97209-2060 2007-05-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508466574 Jessica Michelle Simonetti Psychologist Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 2020-10-29
1811518434 Nathaniel Israel Psychologist 7419 Se Woodstock Blvd, Portland, OR 97206-5838 2020-05-05
1477112480 Stella Beatriz Kerl-mcclain Psychologist 2826 Sw Ridge Dr, Portland, OR 97219-6205 2019-06-12
1184281438 Nicholas Alexander Schollars Psychologist 3050 Se Division St # 215, Portland, OR 97202-1451 2019-05-22
1639637432 Bayside Psychology and Consulting, LLC Psychologist 1 Union St Ste 402, Portland, ME 04101-4048 2019-03-11
1942766985 Alexandra R. Lash Psychologist 386 Fore St, Portland, ME 04101-4047 2019-02-14
1811416068 Matthew Lundeberg Psychologist 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 2017-09-19
1083130991 Tawayne Nolen Malone Jr. Psychologist 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 2017-08-22
1093241838 Dr Patricia Clark Psychologist 1132 Sw 19th Ave, Portland, OR 97205-1740 2017-05-11
1639527575 Randall David Wright Psychologist 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 2016-06-01
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Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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