| NPI | 1053278556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL DISMUKE Clinical Psychologist/Owner 503-436-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-06 |