Organization
HEAL THRIVE GROW BEHAVIORAL HEALTH, INC.
Active
Parent organization
PORTLAND DBT INSTITUTE, INC.
Other names
Portland Evidence Based Psychotherapy Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND DBT INSTITUTE, INC.
Authorized official
LOREN WAMPLER (BUSINESS OPERATIONS)
(503) 290-3290
Entity
Organization
Contact information
Practice address
5200 SW MACADAM AVE STE 155, PORTLAND, OR 97239-3833
(503) 290-3261
(503) 231-8153
Mailing address
5200 SW MACADAM AVE STE 580, PORTLAND, OR 97239-3837
(503) 290-3261
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/25/2015
Last updated
12/07/2016
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