Dr. Renata A Ackermann, PhD
Psychologist, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1053453050
StatusActive
Last updated in NPPESApr 10, 2019
Details
- NPI
- 1053453050
- Entity type
- Individual (NPI-1)
- Name
- Dr. Renata A Ackermann
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Apr 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1777 | OR | Yes |
Practice location
619 Nw 6th AvePortland, OR 97209-3964
Phone 503-988-3700 · Fax 503-988-5520
Mailing address
619 Nw 6th AvePortland, OR 97209-3964
Phone 503-988-7468 · Fax 503-988-3015
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