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Contact Information

ROGER L ACKERMAN
402 S 4TH AVE
YAKIMA, WA98902-3546
 Phone: 509-575-4084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ROGER L ACKERMAN · (Male)

NPI Number 1366125551
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2023
Last updated 03/03/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • WA License # CO61184506
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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