1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Psychologist
  6. NPI Profile

PORTLAND DBT PROGRAM
NPI 1619913787
Psychologist - Cognitive & Behavioral in Portland, OR

Active since June 20, 2006
5200 SW MACADAM AVE, STE 580, PORTLAND, OR 97239(503) 231-7854(503) 231-8153 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Portland Dbt Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND DBT PROGRAM (NPI 1619913787) is a healthcare organization registered as a cognitive & behavioral in Portland, Oregon and active in the NPI registry since June 2006. The organization lists Amberly Martinson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619913787
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NamePORTLAND DIALECTICAL BEHAVIOR THERAPY PC
Location Address5200 SW MACADAM AVE, STE 580Portland, OR 97239
Mailing Address5200 Sw Macadam Ave, Ste 580Portland, OR 97239 · (503) 231-7854 · Fax (503) 231-8153
Phone(503) 231-7854
Fax(503) 231-8153
Organization SubpartNo
Authorized OfficialAmberly MartinsonOffice Manager · (503) 231-7854
Enumeration DateJune 20, 2006
Last NPPES UpdateJune 5, 2008
✔ NPI 1619913787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
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.
5200 SW MACADAM AVE, Portland, OR 97239
Open in Google Maps ↗

Other Names 1

Other NamePortland Dbt Program

Other Identifiers 2

Medicare PIN136771OR
Medicaid240095OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BETSY E TRUMBULL LCSW
Social Worker (Clinical)
5200 SW MACADAM AVE, SUITE 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MS. ANNETTE KATHLEEN SABATER P.T.
Physical Therapist
5200 SW MACADAM AVE, STE 100, THERAPY SOLUTIONS FOR KIDS
PORTLAND, OR 97239
Multnomah County (503) 224-1998
MRS. TRACY MARIE JENDRITZA PSY D
Psychologist (Clinical)
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MS. SOONIE ANN KIM PHD
Psychologist
5200 SW MACADAM AVE, #580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MARGARET CATHERINE DONOVAN PHYSICAL THERAPIST
Physical Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Multnomah County (503) 224-1998
AMY JENNIFER MALIA CROCKFORD
Student in an Organized Health Care Education/Training Program
5200 SW MACADAM AVE, # 580
PORTLAND, OR 97239
Multnomah County (503) 231-7854
MRS. LESLEY ELIZABETH FREELING PT
Physical Therapist (Pediatrics)
5200 SW MACADAM AVE
PORTLAND, OR 97239
Multnomah County (503) 224-1998
WESLEY GROUT
Occupational Therapist
5200 SW MACADAM AVE, SUITE 100
PORTLAND, OR 97239
Multnomah County (503) 224-1998

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Dialectical Behavior Therapy PC's NPI number?

The NPI number for Portland Dialectical Behavior Therapy PC is 1619913787. It was assigned to this organization in the NPPES registry on June 20, 2006. The provider is also known as Portland Dbt Program.

Where is Portland Dialectical Behavior Therapy PC located?

Portland Dialectical Behavior Therapy PC is located at 5200 SW Macadam Ave Ste 580, Portland, OR 97239. The listed phone number is (503) 231-7854.

What is Portland Dialectical Behavior Therapy PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Portland Dialectical Behavior Therapy PC was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.