Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Clinton Edward Quisenberry, PHD

Individual provider Psychologist · NPI 1710205232

Dr. Clinton Edward Quisenberry, PHD is a Clinical Psychologist in Tigard, Oregon. Qualified in 2009, 17 years ago. Accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
17
Licensed in
OR, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7505 SW Beveland Rd Ste 102
Tigard, OR 97223-8682
Phone: (503) 747-4646
Fax: (503) 214-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2721 (OR)
Psychologist Taxonomy 103T00000X · Licence PY60132400 (WA)

Record details

NPI number1710205232
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 7, 2010
Last updated in NPPESMay 24, 2026
Certification dateMay 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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