DR. RENATA A ACKERMANN


Address: 619 Nw 6th Ave, Portland, OR 97209-3964
Phone: 5039883700

DR. RENATA A ACKERMANN (NPI# 1053453050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053453050
Entity Type Individual
Full Name DR. RENATA A ACKERMANN
Credential PHD
Practice Address 619 Nw 6th Ave
Portland
OR 97209-3964
Practice Telephone 5039883700
Practice Fax Number 5039885520
Mailing Telephone 5039887468
Mailing Fax Number 5039883015
Enumeration Date 2007-02-13
Last Update Date 2019-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1777 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 096511 05
OR 22959 05

Office Location

Street Address 619 NW 6TH AVE
City PORTLAND
State OR
Zip Code 97209-3964

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093874356 Erin C Brochu Counselor 619 Nw 6th Ave, Portland, OR 97209-3964 2006-12-06
1700494580 Christine Belile Clinical Medical Laboratory 619 Nw 6th Ave, Portland, OR 97209-3964 2020-07-17
1780201426 Tim Richard Criswell Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1902423635 Sheng Kimberly Yang Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1568089290 Rebecca Puls Pharmacy Technician 619 Nw 6th Ave, Portland, OR 97209-3964 2020-06-29
1790323947 Erica Harris Nurse Practitioner 619 Nw 6th Ave, Portland, OR 97209-3964 2019-12-18
1508388497 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2017-07-12
1639534969 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2015-12-31
1215373048 Emily R Borke Social Worker 619 Nw 6th Ave, Portland, OR 97209-3964 2013-05-20
1023451044 Multnomah County Clinic/Center 619 Nw 6th Ave, Portland, OR 97209-3964 2013-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861007387 Lyle Vintinner Psychologist 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 2020-09-11
1194341297 Natalie Dawn Mitchell Psychologist 3762 Sw Council Crest Dr, Portland, OR 97239-1595 2020-06-24
1992331607 Erin A. Mueller Psychologist 718 Sw Alder St Ste 200, Portland, OR 97205-3423 2020-03-14
1952940520 Timothy Allen Cooper Psychologist 3331 Sw Hamilton Ct, Portland, OR 97239-1256 2019-12-31
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1093373631 Emily Catherine Stasko Psychologist 1950 Nw Raleigh St Apt 201, Portland, OR 97209-1775 2019-05-29
1174094544 Juniper Psychological Services Psychologist 2827 Ne Alberta St, Portland, OR 97211-6350 2018-12-11
1528539335 Mark G Kiefner Phd LLC Psychologist 225 Commercial St Ste 403, Portland, ME 04101-6603 2018-12-06
1467941831 Shannon Madore Psychologist 3710 Sw Us Veterans Hospital Rd # R&d66, Portland, OR 97239-2964 2018-05-01
1033637202 Kaylin Jones Psychologist 1235 Se Division Street, Suite 115, Portland, OR 97202-9720 2017-09-07
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Competitor

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City PORTLAND
Zip Code 97209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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