Individual
DR. TRACI RIECKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2925 NE 53RD AVE, PORTLAND, OR 97213-2437
(503) 577-3414
Mailing address
3601 SW RIVER PKWY, SUITE 2012, PORTLAND, OR 97239-4553
(503) 577-3414
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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