CHANEL BREAE DISMUKE (PSYD) – Counselor, NPI 1780053314

CHANEL BREAE DISMUKE (PSYD) is a healthcare provider. based in Beaverton, Oregon. specializing in Counselor. They hold the professional credentials PSYD. They hold a License No. 3292 (OR). The NPI Number for CHANEL BREAE DISMUKE (PSYD) is 1780053314

Main info

Female
Name
CHANEL BREAE DISMUKE (PSYD)
NPI
1780053314
Phone
(503) 436-5663
Address
10700 SW Beaverton Hillsdale Hwy Ste 546
Enumeration Date
24 September 2015
Last Update Date
4 July 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for CHANEL BREAE DISMUKE (PSYD)

  • 10700 SW Beaverton Hillsdale Hwy Ste 546

    Beaverton, OR 970054739

    Phone: (503) 436-5663

    Type: Location

  • 14600 NW CORNELL ROAD

    PORTLAND, OR 972295442

    Phone:

    Type: Mailing

  • 14600 NW CORNELL RD

    PORTLAND, OR 972295442

    Phone: (503) 645-3581

    Fax: (503) 629-8517

    Type: Location

  • 1975 NW 167TH PL STE 100-42

    BEAVERTON, OR 970064908

    Phone: (503) 436-5663

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97005)

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Reviews

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Frequently asked questions

How do I look up CHANEL BREAE DISMUKE (PSYD) by NPI?
Use NPI 1780053314 when you need to reference CHANEL BREAE DISMUKE (PSYD) in forms, claims, or directories.
Does this profile mean CHANEL BREAE DISMUKE (PSYD) is currently active?
Yes — CHANEL BREAE DISMUKE (PSYD) appears active in the national provider directory.
What kind of provider is CHANEL BREAE DISMUKE (PSYD)?
The page reflects Counselor for CHANEL BREAE DISMUKE (PSYD). Clinical services aligned with this taxonomy classification.
Where does public data place CHANEL BREAE DISMUKE (PSYD)?
The snapshot lists Beaverton, Oregon for CHANEL BREAE DISMUKE (PSYD); download NPPES for the complete set.
Is CHANEL BREAE DISMUKE (PSYD) a real provider?
This page reflects official NPPES data for NPI 1780053314. Always confirm identity and privileges with the practice and licensing boards.

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