- Practice location
- 619 NW 6TH Ave, Portland, OR 97209-3964
- Phone
- 503-988-3700
- Fax
- 503-988-5520
- Last updated
- April 10, 2019
Renata A Ackermann is a Psychologist, Clinical based in Portland, OR. Renata A Ackermann practices in Portland, OR and has the professional credentials of PHD. The NPI Number for Renata A Ackermann is 1053453050 and holds a License No. 1777 (OR). The current practice location address for Renata A Ackermann is 619 NW 6TH Ave, Portland, OR 97209-3964 and can be reached out via phone at 503-988-3700 and via fax at 503-988-5520.
Provider Profile Details
- NPI Number
- 1053453050
- Provider Name
- Renata A Ackermann
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 619 NW 6TH Ave, Portland, OR 97209-3964
- Phone Number
- 503-988-3700
- Fax Number
- 503-988-5520
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 13, 2007
- Last Update Date
- April 10, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 619 NW 6TH Ave
Portland, OR 97209-3964 - City
- Portland
- State
- Oregon
- Zip
- 97209-3964
- Phone Number
- 503-988-3700
- Fax Number
- 503-988-5520
Provider Business Mailing Address Details
- Address
- 619 NW 6TH Ave
Portland, OR 97209-3964 - City
- Portland
- State
- OR
- Zip
- 97209-3964
- Phone Number
- 503-988-7468
- Fax Number
- 503-988-3015
License Information
- License Number
- 1777
- License State
- OR
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Renata A Ackermann, PHD?
The NPI number of Dr. Renata A Ackermann, PHD is 1053453050. It was assigned on February 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Renata A Ackermann, PHD?
Dr. Renata A Ackermann, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OR under license number 1777.
Where does Dr. Renata A Ackermann, PHD practice?
The practice location is 619 NW 6TH Ave, Portland, OR 97209-3964. The office can be reached at 503-988-3700 (phone) or 503-988-5520 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053453050 directly on the NPPES registry website.