Provider Demographics
NPI:1922123041
Name:CHILSON, DEV (PSY D)
Entity Type:Individual
Prefix:DR
First Name:DEV
Middle Name:
Last Name:CHILSON
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:CHILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1322 NE ORENCO STATION PARKWAY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-5411
Mailing Address - Country:US
Mailing Address - Phone:503-681-9679
Mailing Address - Fax:
Practice Address - Street 1:1322 NE ORENCO STATION PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-5424
Practice Address - Country:US
Practice Address - Phone:503-681-9679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1424103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist