CHANEL DISMUKE, PSYD
Psychologist
Active
Individual
NPI: 1780053314
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Cognitive & Behavioral | 103TB0200X | No | - |
| Psychologist - Clinical | 103TC0700X | No | 3292 (OR) |
| Psychologist | 103T00000X | Yes | 3292 (OR) |
Frequently Asked Questions
NPI 1780053314 is the National Provider Identifier for CHANEL DISMUKE, PSYD, a Psychologist provider located in Beaverton, OR. This NPI was enumerated on September 24, 2015.
CHANEL DISMUKE, PSYD practices at 1975 NW 167TH PL STE 100-42, Beaverton, OR 97006.
Quick Facts
- NPI
- 1780053314
- Type
- Individual
- Enumerated
- Sep 24, 2015
- Last Updated
- Jul 4, 2024
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