Organization
THE DBT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE MARTIN SMITH LPC (PRESIDENT)
(503) 280-8888
Entity
Organization
Contact information
Practice address
2104 SE MORRISON ST, PORTLAND, OR 97214-2825
(971) 285-6545
(503) 764-9483
Mailing address
2104 SE MORRISON ST, PORTLAND, OR 97214-2825
(971) 285-6545
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1278
OR
Other
Enumeration date
07/11/2014
Last updated
02/04/2019
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