Rita Maynard, Psy.d.,Llc

Specialty details in registry · Lake Oswego, OR

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At a glance

311 B Ave, Lake Oswego, OR 97034-3011

NPPES record updated Dec 31, 2013. Public records can lag behind changes at a practice.

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Practice location

311 B Ave Suite R
Lake Oswego, OR 97034-3011

Professional details: NPI, taxonomy & registry record

NPI1275602187

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TC0700X
Enumeration date: Nov 6, 2006
Record updated: Dec 31, 2013

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

103TC0700X · Primary

License reported: 847 OR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

311 B Ave
Suite R
Lake Oswego, OR 97034-3011

Phone: (503) 692-4092

Mailing address

311 B AVE
SUITE R
LAKE OSWEGO, OR 970343011

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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