GLYNIS M. STAFFORD MA LPC DBTC NCC NPI 1417083163

NPI Information

NPI: 1417083163
Provider Name: GLYNIS M. STAFFORD, MA, LPC, DBTC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4900 SW GRIFFITH DR
SUITE 200
BEAVERTON, OR
ZIP 97005
Phone: (503) 703-9682
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Glynis M. Stafford, MA, LPC, DBTC, NCC is a mental health counselor in Beaverton, OR. Glynis M. Stafford, MA, LPC, DBTC, NCC NPI is 1417083163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4900 SW GRIFFITH DR
SUITE 200
BEAVERTON, OR
ZIP 97005-607
Phone: (503) 703-9682

The enumeration date for this NPI number is 2/26/2007 and was last updated on 7/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C3055	OREGON	No
2	101YP2500X	Counselor	Professional	C3055	OREGON	No
3	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81-3036006	OTHER	OREGON	TAX ID EIN
2	C3055	OTHER	OREGON	LPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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