Dr. Renata A Ackermann, PHD
Psychologist, Clinical in Portland, Oregon
1053453050- Practice location
- 619 NW 6TH Ave, Portland, OR 97209-3964
- Phone
- 503-988-3700
- Fax
- 503-988-5520
- Last updated
- April 10, 2019
Dr. Renata A Ackermann, PHD is a Psychologist, Clinical based in Portland, OR. Dr. Renata A Ackermann, PHD holds the professional credentials of PHD. The NPI number for Dr. Renata A Ackermann, PHD is 1053453050 and holds license No. 1777 (OR). The current practice location address is 619 NW 6TH Ave, Portland, OR 97209-3964 and the office can be reached by phone at 503-988-3700 and by fax at 503-988-5520. The NPI was assigned on February 13, 2007 and the record was last updated in NPPES on April 10, 2019.
●Provider Profile Details
- NPI Number
- 1053453050
- Provider Name
- Renata A Ackermann
- Credential
- PHD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Enumeration Date
- February 13, 2007
- Last Update Date
- April 10, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 619 NW 6TH Ave
Portland, OR 97209-3964 - City
- Portland
- State
- Oregon
- ZIP
- 97209-3964
- Country
- US
- Phone Number
- 503-988-3700
- Fax Number
- 503-988-5520
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist, Clinical | 103TC0700X | Yes | 1777 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. 1777 (OR).
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 at npiregistry.cms.hhs.gov.