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

Q: What is the provider's specialty?

The provider's specialty is Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.

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: July 19, 2026.

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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

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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