NPIMap

Organization Active NPI

Portland DBT Institute, Inc.

Doing business as Portland DBT Institute of Salem

  • Cognitive & Behavioral Psychologist
  • Portland, OR
National Provider Identifier
1073853966
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
PORTLAND DBT INSTITUTE, INC.
Doing business as
Portland DBT Institute of Salem
Practice address
5100 S Macadam Ave., Ste 350
Portland, OR 97239-3877
Phone
(503) 231-7854
Fax
(503) 231-8153
NPI assigned
Feb 28, 2013
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanner Snell
Title
Business Administrator
Phone
(971) 339-3523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU Primary

Addresses

Primary practice location

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

Mailing address

5100 S Macadam Ave Ste 350
Portland, OR 97239-3877
Phone (503) 231-7854

Other practice location 1

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

Other names 1

  • Portland DBT Institute of Salem Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130918000361 OR Part B Supplier - Clinic/Group Practice 7911141742 Receives reassigned benefits from 39 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

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

7 Crater Lake Ave
Ste 7A
Medford, OR 97504

1750 SW Salmon St
Portland, OR 97205
Phone (503) 916-5200

5100 S Macadam Ave
Ste 350
Portland, OR 97239
Phone (503) 231-7854

454 17th St NE
Salem, OR 97301
Phone (503) 231-7854

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1073853966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393877",
            "telephone_number": "503-231-7854",
            "fax_number": "503-231-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE., STE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393877",
            "telephone_number": "503-231-7854",
            "fax_number": "503-231-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Crater Lake Ave # 7A",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975047466",
            "country_code": "US",
            "telephone_number": "503-231-7854",
            "fax_number": "503-231-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PORTLAND DBT INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "SNELL",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "971-339-3523"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland DBT Institute of Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Portland DBT Institute of Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.