Portland Dbt Program

LBN: Portland Dialectical Behavior Therapy Pc
Portland Dbt Program is an health care organization with primary practice located at 5200 Sw Macadam Ave Ste 580, Portland OR 97239. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as the primary health care specialty. Portland Dialectical Behavior Therapy Pc can be contacted via phone (503) 231-7854, or through Martinson, Amberly via phone (503) 231-7854.

Contact Information

Primary practice address
5200 Sw Macadam Ave Ste 580 Portland OR 97239
Phone: (503) 231-7854
Fax: (503) 231-8153
Website:
Map and Directions
Authorized official contact:
Name: Martinson, Amberly BS
Phone: (503) 231-7854

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1619913787
LBN Legal business name Portland Dialectical Behavior Therapy Pc
DBA Doing business as Portland Dbt Program
Authorized official Martinson, Amberly BS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619913787 NPPES
Oregon MEDICAID 240095

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