IndividualActive
Chanel Dismuke, PSYD
NPI 1780053314 · Psychologist · Beaverton, OR
Provider details
- NPI number
- 1780053314
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1975 Nw 167th Pl Ste 100-42
Beaverton, OR 97006-4908
Phone: (503) 436-5663
Approximate (ZIP-level) locationGet directions
Mailing address
1975 Nw 167th Pl Ste 100-42
Beaverton, OR 97006-4908
Additional practice locations (1)
- 10700 Sw Beaverton Hillsdale Hwy Ste 546Beaverton, OR 97005-4739Phone: (503) 436-5663
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2024-07-04
- Certified
- 2024-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.