Dismuke, Chanel Breae

Dismuke, Chanel Breae is an individual health care provider with primary practice located at 1975 Nw 167Th Pl Ste 100-42 , Beaverton OR 97006-4908. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Dismuke, Chanel Breae can be contacted via phone (503) 436-5663.

Contact Information

Primary practice address
1975 Nw 167Th Pl Ste 100-42 Beaverton OR 97006-4908
Phone: (503) 436-5663
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3292 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3292 Oregon

Profile Details

NPI number 1780053314
LBN Legal business name Dismuke, Chanel Breae
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2015
Last updated Jul 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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