| NPI | 1619913787 |
|---|---|
| Other Name | PORTLAND DBT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | AMBERLY MARTINSON Office Manager 503-231-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-06-05 |