Organization
PORTLAND DIALECTICAL BEHAVIOR THERAPY PC
Active
Other names
Portland DBT Program
Organization subpart
No
Provider details
NPI number
Authorized official
AMBERLY MARTINSON BS (OFFICE MANAGER)
(503) 231-7854
Entity
Organization
Contact information
Practice address
5200 SW MACADAM AVE, STE 580, PORTLAND, OR 97239
(503) 231-7854
(503) 231-8153
Mailing address
5200 SW MACADAM AVE, STE 580, PORTLAND, OR 97239
(503) 231-7854
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240095
—
OR
Enumeration date
06/20/2006
Last updated
06/05/2008
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