Organization · Type 2 NPI

Heal Thrive Grow Behavioral Health, Inc.

Cognitive & Behavioral Psychologist · Portland, OR

NPI number 1376925339 Active

Practice location

5200 SW Macadam Ave Ste 155
Portland, OR 97239-3833

Call (503) 290-3261 Map

Fax (503) 231-8153

Mailing address

5200 SW Macadam Ave Ste 580
Portland, OR 97239-3837

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Psychologist	103T00000X	None listed
Cognitive & Behavioral Psychologist Primary	103TB0200X	None listed
Group Psychotherapy Psychologist	103TP2701X	None listed
Social Worker	104100000X	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: 1376925339
Entity type: Organization (Type 2)
Issued: Jun 25, 2015
Last updated: Dec 7, 2016
Status: Active
Subpart: Yes of Portland DBT Institute, Inc.

Other names

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Portland Evidence Based Psychotherapy Clinic, Inc. · former legal business name

Authorized official

Loren Wampler
Business Operations
(503) 290-3290

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376925339

Heal Thrive Grow Behavioral Health, Inc.'s National Provider Identifier is 1376925339, issued on Jun 25, 2015. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Portland, OR. The record was last updated on Dec 7, 2016.