PORTLAND DIALECTICAL BEHAVIOR THERAPY PC NPI 1619913787

NPI Information

PORTLAND DIALECTICAL BEHAVIOR THERAPY PC 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. PORTLAND DIALECTICAL BEHAVIOR THERAPY PC NPI is 1619913787. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Portland Dbt Program.

The provider's business location address is:

5200 SW MACADAM AVE
STE 580
PORTLAND, OR
ZIP 97239
Phone: (503) 231-7854
Fax: (503) 231-8153

The provider's authorized official is Amberly Martinson .
The authorized official title is Office Manager and has the following contact phone number (503) 231-7854.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 6/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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