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Contact Information

CARRIE M ACKERMAN, CADC I, CRM
2318 NE MLK BLVD
PORTLAND, OR97212-3715
 Phone: 503-335-8611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for CARRIE M ACKERMAN · (Female)

NPI Number 1164133260
Status Active
Credentials CADC I, CRM
Entity Individual
Enumeration date 12/09/2022
Last updated 05/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 11-09-01
  • OR License # 23-QMHA-R-3810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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