CHANEL BREAE DISMUKE

BEAVERTON, OR
NPI1780053314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: OR  3292)
Additional Taxonomies103TB0200X Psychologist, Cognitive & Behavioral
103TC0700X Psychologist, Clinical
(Licence: OR  3292)
Enumeration Date2015-09-24
Last Update Date2024-07-04
Business Address
CHANEL BREAE DISMUKE PsyD
1975 NW 167TH PL STE 100-42
BEAVERTON, OR 97006-4908
Phone number: 503-436-5663
Mailing Address
CHANEL BREAE DISMUKE PsyD
1975 NW 167TH PL STE 100-42
BEAVERTON, OR 97006-4908
Phone number: 503-436-5663