- Practice location
- 1016 SE 12TH Ave, Portland, OR 97214-2513
- Phone
- 503-482-9253
- Fax
- —
- Last updated
- April 26, 2019
Alyssa Ackerman is a Massage Therapist based in Portland, OR. Alyssa Ackerman practices in Portland, OR. The NPI Number for Alyssa Ackerman is 1528622347 and holds a License No. 25025 (OR). The current practice location address for Alyssa Ackerman is 1016 SE 12TH Ave, Portland, OR 97214-2513 and can be reached out via phone at 503-482-9253.
Provider Profile Details
- NPI Number
- 1528622347
- Provider Name
- Alyssa Ackerman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1016 SE 12TH Ave, Portland, OR 97214-2513
- Phone Number
- 503-482-9253
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 26, 2019
- Last Update Date
- April 26, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1016 SE 12TH Ave
Portland, OR 97214-2513 - City
- Portland
- State
- Oregon
- Zip
- 97214-2513
- Phone Number
- 503-482-9253
Provider Business Mailing Address Details
- Address
- 15602 SE Madison CT
Portland, OR 97233-3654 - City
- Portland
- State
- OR
- Zip
- 97233-3654
- Phone Number
- 517-927-6735
License Information
- License Number
- 25025
- License State
- OR
- Taxonomy
- Massage Therapist · 225700000X · 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 Alyssa Ackerman?
The NPI number of Alyssa Ackerman is 1528622347. It was assigned on April 26, 2019 and is currently active in the NPPES registry.
What is the specialty of Alyssa Ackerman?
Alyssa Ackerman is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in OR under license number 25025.
Where does Alyssa Ackerman practice?
The practice location is 1016 SE 12TH Ave, Portland, OR 97214-2513. The office can be reached at 503-482-9253 (phone).
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 1528622347 directly on the NPPES registry website.