DR. TRACI RIECKMANN (NPI# 1861850737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861850737 |
| Entity Type | Individual |
| Full Name | DR. TRACI RIECKMANN |
| Credential | PH.D. |
| Practice Address |
2925 Ne 53rd Ave Portland OR 97213-2437 |
| Mailing Address |
3601 Sw River Pkwy Suite 2012 Portland OR 97239-4553 |
| Practice Telephone | 5035773414 |
| Mailing Telephone | 5035773414 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
2925 NE 53RD AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722345 | Izmirian Counseling, PC | Psychologist | 1450 Se Holgate Blvd, Portland, OR 97202-4717 | 2020-05-19 |
| 1669959078 | Pamela Michelle Taite | Psychologist | 1785 Ne Sandy Blvd Ste 270, Portland, OR 97232-2791 | 2018-07-27 |
| 1417196999 | Elizabeth Rachael Starkweather | Psychologist | 212 Kent St Ste 4b, Portland, MI 48875-1448 | 2009-02-06 |
| 1477737294 | Bret Eugene Fuller | Psychologist | 037 Sw Hamilton St, Ste 3, Portland, OR 97239-4096 | 2007-12-28 |
| 1942414222 | Kathy Karpeles | Psychologist | 651 Forest Ave, Portland, ME 04101-1525 | 2007-05-09 |
| 1174736573 | Frances I. Page | Psychologist | 2726 Sw Ridge Drive, Portland, OR 97219-6204 | 2007-05-08 |
| 1386867562 | Nancy Kao Rhiannon | Psychologist | 2250 Nw Flanders St Ste 103, Portland, OR 97210-5409 | 2007-04-10 |
| 1477688000 | Britta Dinsmore | Psychologist | 7929 Sw 37th Ave, Suite D, Portland, OR 97219-3663 | 2007-02-23 |
| 1528111804 | Donald Dale Cohen | Psychologist | 511 Sw 10th Ave Ste 604, Portland, OR 97205-2707 | 2007-01-19 |
| 1598818320 | Tanya Shan | Psychologist | 132 Pleasant St, Portland, ME 04101-3809 | 2007-01-18 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on DR. TRACI RIECKMANN.
| 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.