Organization · Type 2 NPI

Portland DBT Institute, Inc.

Cognitive & Behavioral Psychologist · Portland, OR

NPI number 1073853966 Active

Practice location

5100 S Macadam Ave., Ste 350
Portland, OR 97239-3877

Call (503) 231-7854 Map

Fax (503) 231-8153

Mailing address

5100 S Macadam Ave Ste 350
Portland, OR 97239-3877

Other practice locations

7 Crater Lake Ave # 7A, Medford, OR 97504-7466 · (503) 231-7854

Specialties and licenses

Taxonomy	Code	License
Cognitive & Behavioral Psychologist Primary	103TB0200X	None listed

Cognitive & Behavioral Psychologist: 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.

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NPI record

NPI: 1073853966
Entity type: Organization (Type 2)
Issued: Feb 28, 2013
Last updated: Feb 24, 2026
Status: Active

Other names

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Portland DBT Institute of Salem · doing business as
Portland DBT Institute of Salem · doing business as

Authorized official

Tanner Snell
Business Administrator
(971) 339-3523

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About NPI 1073853966

Portland DBT Institute, Inc.'s National Provider Identifier is 1073853966, issued on Feb 28, 2013. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2026.