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Contact Information

GREG ACKERMAN
2318 NE MLK JR BLVD
PORTLAND, OR97212-3715
 Phone: 503-335-8611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for GREG ACKERMAN · (Male)

NPI # 1225421514
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2015
Last updated 03/10/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 1376611418
  • OR Medicaid 500662131
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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