Portland Evidence Based Psychotherapy Clinic, Inc.

LBN: Heal Thrive Grow Behavioral Health, Inc.
Portland Evidence Based Psychotherapy Clinic, Inc. is an health care organization with primary practice located at 5200 Sw Macadam Ave Ste 155 , Portland OR 97239-3833. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Cognitive & Behavioral is the primary health care specialty. Heal Thrive Grow Behavioral Health, Inc. can be contacted via phone (503) 290-3261, or through Wampler, Loren via phone (503) 290-3290.

Contact Information

Primary practice address
5200 Sw Macadam Ave Ste 155 Portland OR 97239-3833
Phone: (503) 290-3261
Fax: (503) 231-8153
Website:
Map and Directions
Authorized official contact:
Name: Wampler, Loren
Phone: (503) 290-3290

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1376925339
LBN Legal business name Heal Thrive Grow Behavioral Health, Inc.
DBA Doing business as Portland Evidence Based Psychotherapy Clinic, Inc.
Authorized official Wampler, Loren
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2015
Last updated Dec 7th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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