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1215574058
NORTHWEST DBT LLC
PORTLAND, OR
NPI
1215574058
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Entity Type
Organization
Authorized Contact
TRACY MARIE JENDRITZA
Program Director
503-963-6540
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2019-11-27
Last Update Date
2019-11-27
Business Address
NORTHWEST DBT LLC
2230 NW PETTYGROVE ST. SUITE 130
PORTLAND, OR 97210
Phone number: 503-963-6540
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Mailing Address
NORTHWEST DBT LLC
2230 NW PETTYGROVE ST. SUITE 130
PORTLAND, OR 97210
Phone number: 503-963-6540
Copy
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