DR. CLINTON EDWARD QUISENBERRY PH.D.
NPI 1710205232
Psychologist in Tigard, OR

Active since May 07, 2010PECOS EnrolledAccepts Medicare Assignment
7505 SW BEVELAND RD, STE 102, TIGARD, OR 97223(503) 747-4646(503) 214-8668 Get Directions Write a Review

NPPES record last updated: May 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2026, May 13, 2026, Jun 30, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Clinton Edward Quisenberry Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLINTON EDWARD QUISENBERRY PH.D. (NPI 1710205232) is an individual psychologist in Tigard, Oregon, licensed in Oregon (2721) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710205232
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CLINTON EDWARD QUISENBERRYCredential: PH.D.
Location Address7505 SW BEVELAND RD, STE 102Tigard, OR 97223-8682
Mailing Address7505 Sw Beveland Rd Ste 102Tigard, OR 97223-8682 · (503) 747-4646 · Fax (503) 214-8668
Fax(503) 214-8668
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 7, 2010
Last NPPES UpdateMay 24, 20265 updates tracked since enumeration
NPPES CertifiedMay 24, 2026
NPI 1710205232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in OR · 2721 Licensed in WA · PY60132400
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7505 SW BEVELAND RD, Tigard, OR 97223

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Clinton Edward Quisenberry Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810182003
PECOS Enrollment IDI20101112001284, I20230516003303
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
7505 SW BEVELAND RD, SUITE 204
TIGARD, OR 97223
Psychologist (Clinical)
7505 SW BEVELAND RD
TIGARD, OR 97223
Psychologist
7505 SW BEVELAND RD, #203
TIGARD, OR 97223
Counselor (Professional)
7505 SW BEVELAND RD
TIGARD, OR 97223
Psychologist (Clinical Child & Adolescent)
7505 SW BEVELAND RD, SUITE 102
TIGARD, OR 97223
Psychologist
7505 SW BEVELAND RD, SUITE 201
TIGARD, OR 97223
Psychologist
7505 SW BEVELAND RD
TIGARD, OR 97223
Psychologist (Clinical)
7505 SW BEVELAND RD, SUITE 200
TIGARD, OR 97223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Quisenberry's NPI number?

The NPI number for Clinton Quisenberry is 1710205232. It was assigned to this individual provider in the NPPES registry on May 7, 2010.

Where is Clinton Quisenberry located?

Clinton Quisenberry practices at 7505 SW Beveland Rd Ste 102, Tigard, OR 97223. The listed phone number is (503) 747-4646.

What is Clinton Quisenberry's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Clinton Quisenberry enrolled in Medicare?

Yes. Clinton Quisenberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Clinton Quisenberry accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Clinton Quisenberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinton Quisenberry was last updated on May 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.