Individual
LAUREN H GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6950 SW HAMPTON ST STE 310, TIGARD, OR 97223-8332
(503) 295-2336
Mailing address
6950 SW HAMPTON ST STE 310, TIGARD, OR 97223-8332
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R8382
OR
106H00000X
Marriage & Family Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2022
Last updated
08/14/2023
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