Provider Demographics
NPI:1063128098
Name:BICHSEL, DEAN
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:BICHSEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46125 NW HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-7609
Mailing Address - Country:US
Mailing Address - Phone:971-219-6706
Mailing Address - Fax:
Practice Address - Street 1:5240 NE ELAM YOUNG PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6438
Practice Address - Country:US
Practice Address - Phone:503-846-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical