Glykeria Manis, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1003194366
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1003194366
- Entity type
- Individual (NPI-1)
- Name
- Glykeria Manis
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2011
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L7439 | OR | Yes |
Practice location
9135 Sw Barnes RdPortland, OR 97225-6646
Phone 503-216-1234
Mailing address
Po Box 3396Portland, OR 97208-3396
Phone 503-216-2380
Other practice locations
9155 Sw Barnes Rd Ste 205
Portland, OR 97225-6629
Portland, OR 97225-6629
Phone 503-216-2025
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