Individual
DR. CLINTON EDWARD QUISENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7505 SW BEVELAND RD, STE 102, TIGARD, OR 97223-8682
(503) 747-4646
(503) 214-8668
Mailing address
7505 SW BEVELAND RD STE 102, TIGARD, OR 97223-8682
(503) 747-4646
(503) 214-8668
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2721
OR
103T00000X
Psychologist
PY60132400
WA
Other
Enumeration date
05/07/2010
Last updated
05/13/2026
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