Provider Demographics
NPI:1689619140
Name:MATRIX CONSULTANTS
Entity Type:Organization
Organization Name:MATRIX CONSULTANTS
Other - Org Name:MAUREEN A. BARNARD, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:503-295-3417
Mailing Address - Street 1:9800 SW BEAVERTON HILLSDALE HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3361
Mailing Address - Country:US
Mailing Address - Phone:503-295-3417
Mailing Address - Fax:503-646-4549
Practice Address - Street 1:9800 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3361
Practice Address - Country:US
Practice Address - Phone:503-295-3417
Practice Address - Fax:503-646-4549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR08371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0837OtherCLINICAL SOCIAL WORK LIC
OR0837OtherCLINICAL SOCIAL WORK LIC