Organization Active NPI

CBT Portland LLC

  • Psychologist
  • Portland, OR
National Provider Identifier
1083521892
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CBT PORTLAND LLC
Practice address
205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone
(503) 395-2143
NPI assigned
Aug 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Dr. Hayley Dauterman, PHD
Title
Owner
Phone
(503) 395-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

205 SE Spokane St Ste 300
Portland, OR 97202-6487

Mailing address

205 SE Spokane St Ste 300
Portland, OR 97202-6487
Phone (503) 395-2143

NPI Registry JSON

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1083521892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-395-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SE SPOKANE ST STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026487",
            "telephone_number": "503-395-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBT PORTLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "DAUTERMAN",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-395-2143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.