Dr. Traci Rieckmann, Ph.D.
Psychologist, Counseling in Portland, OR. Individual provider (NPI-1).
NPI number1861850737
StatusActive
Last updated in NPPESFeb 5, 2016
Details
- NPI
- 1861850737
- Entity type
- Individual (NPI-1)
- Name
- Dr. Traci Rieckmann
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2016
- Last updated
- Feb 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | – | – | Yes |
Practice location
2925 Ne 53rd AvePortland, OR 97213-2437
Phone 503-577-3414
Mailing address
3601 Sw River PkwySuite 2012
Portland, OR 97239-4553
Phone 503-577-3414
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All 48 Counseling Psychologist providers in Portland · All 48,847 providers in Portland
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