Quisenberry, Clinton Edward

Quisenberry, Clinton Edward is an sole proprietor health care provider with primary practice located at 7505 Sw Beveland Rd Ste 102, Tigard OR 97223-8682. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Quisenberry, Clinton Edward can be contacted via phone (503) 747-4646.

Contact Information

Primary practice address
7505 Sw Beveland Rd Ste 102 Tigard OR 97223-8682
Phone: (503) 747-4646
Fax: (503) 214-8668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60132400 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2721 Oregon

Profile Details

NPI number 1710205232
LBN Legal business name Quisenberry, Clinton Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2010
Last updated Jun 30th, 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.

Request for update

Popular Providers