Individual
ALLYSON MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2704 SE 71ST AVE, PORTLAND, OR 97206-1125
(503) 916-6504
Mailing address
501 N DIXON ST, PORTLAND, OR 97227-1804
(502) 916-2000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
63881
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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