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Contact Information

NORTHWEST DBT LLC
2230 NW PETTYGROVE ST.
SUITE 130
PORTLAND, OR97210
 Phone: 503-963-6540
 Fax: 888-965-8362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NORTHWEST DBT LLC

NPI Number 1215574058
LBN Legal business name NORTHWEST DBT LLC
Authorized official TRACY JENDRITZA - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2019
Last updated 11/27/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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