Chanel Breae Dismuke, PSYD - Medicare Psychologist in Beaverton, OR

Chanel Breae Dismuke, PSYD is a medicare enrolled "Psychologist" provider in Beaverton, Oregon. Her current practice location is 1975 Nw 167th Pl Ste 100-42, Beaverton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 436-5663.

Chanel Breae Dismuke is licensed to practice in Oregon (license number 3292) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780053314.

Contact Information

Chanel Breae Dismuke, PSYD
1975 Nw 167th Pl Ste 100-42,
Beaverton, OR 97006-4908
(503) 436-5663
Not Available



Healthcare Provider's Profile

Full NameChanel Breae Dismuke
GenderFemale
Speciality
Experience Years
Location1975 Nw 167th Pl Ste 100-42, Beaverton, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chanel Breae Dismuke attended and graduated from in
  NPI Data:
  • NPI Number: 1780053314
  • Provider Enumeration Date: 09/24/2015
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Chanel Breae Dismuke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780053314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 3292 (Oregon)Secondary
103T00000XPsychologist 3292 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanel Breae Dismuke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chanel Breae Dismuke, PSYD
1975 Nw 167th Pl Ste 100-42,
Beaverton, OR 97006-4908

Ph: (503) 436-5663
Chanel Breae Dismuke, PSYD
1975 Nw 167th Pl Ste 100-42,
Beaverton, OR 97006-4908

Ph: (503) 436-5663

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› Verified 1 days ago


Psychologist in Beaverton, OR

Dr. Sheryl Jane Chomak, PH.D.
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Dr. Allan F. Chino,
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Dr. Alex Bloom, PSY.D.
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Phone: 503-610-2044    Fax: 503-296-2102
Dr. Steven W Spotts, PSY.D.
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Phone: 503-526-9304    
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