Individual
DR. RENATA A ACKERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-3700
(503) 988-5520
Mailing address
619 NW 6TH AVE, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1777
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
02/13/2007
Last updated
04/10/2019
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