Individual
CHRISTINE GENEVIEVE GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
1815 NW FLANDERS ST, PORTLAND, OR 97209-2060
(503) 243-6720
Mailing address
7106 SW 33RD AVE, PORTLAND, OR 97219-1851
(503) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
504
OR
103TC0700X
Clinical Psychologist
Primary
504
OR
Other
Enumeration date
06/06/2007
Last updated
09/11/2025
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