Search › Oregon › 103T00000X
Chanel Dismuke, PSYD
NPI 1780053314 · on the registry since 2015
Practice
- Address
- 1975 Nw 167th Pl Ste 100-42
Beaverton, OR 97006 - Phone
- (503) 436-5663
- Organisation at this address
- Ellhorn, Llc
Lifequal, Llc
Amybrunermd Llc
Laura Rogers Llc
Honored Truth LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Additional practice sites
- 10700 Sw Beaverton Hillsdale Hwy Ste 546, Beaverton, OR
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TB0200X
103TC0700X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon