Individual
ELIZABETH ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 SE BAKER ST, MCMINNVILLE, OR 97128-6039
(503) 472-0423
Mailing address
355 SE BAKER ST, MCMINNVILLE, OR 97128-6039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
244915
NY
207X00000X
Orthopaedic Surgery Physician
Primary
MD28269
OR
Other
Enumeration date
07/11/2007
Last updated
02/03/2011
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