Healthcare Provider Details

I. General information

NPI: 1184993115
Provider Name (Legal Business Name): HEATHER DUMSER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 NE COURTNEY DR
BEND OR
97701-7636
US

IV. Provider business mailing address

2650 NE COURTNEY DR
BEND OR
97701-7636
US

V. Phone/Fax

Practice location:
  • Phone: 541-647-5270
  • Fax:
Mailing address:
  • Phone: 541-647-5270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60608059
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: