NPI: 1376925339
Provider Name: HEAL THRIVE GROW BEHAVIORAL HEALTH, INC.
Former Legal Business Name: PORTLAND EVIDENCE BASED PSYCHOTHERAPY CLINIC, INC.
Classification: Psychologist - 103TB0200X
Entity Type: Organization
Specialization: Cognitive & Behavioral
Address:
5200 SW MACADAM AVE STE 155
PORTLAND, OR
ZIP 97239
Phone: (503) 290-3261
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HEAL THRIVE GROW BEHAVIORAL HEALTH, INC. is a cognitive and behavioral psychologist in Portland, OR. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. HEAL THRIVE GROW BEHAVIORAL HEALTH, INC. NPI is 1376925339. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Portland Evidence Based Psychotherapy Clinic, Inc..
The provider's business location address is:
5200 SW MACADAM AVE STE 155
PORTLAND, OR
ZIP 97239-833
Phone: (503) 290-3261
Fax: (503) 231-8153
The provider's authorized official is Loren Wampler .
The authorized official title is Business Operations and has the following contact phone number (503) 290-3290.
The enumeration date for this NPI number is 6/25/2015 and was last updated on 12/7/2016.