Provider Demographics
NPI:1780773978
Name:BARNARD, MAUREEN A (LCSW)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:A
Last Name:BARNARD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR08371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0837OtherSTATE LICENSE
OR0000TLD8BZMedicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #