Ackerman, Carrie Marie
Ackerman, Carrie Marie is an individual health care provider with primary practice located at 2318 Ne Mlk Blvd , Portland OR 97212-3715. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ackerman, Carrie Marie can be contacted via phone (503) 335-8611.Contact Information
Primary practice address
2318 Ne Mlk Blvd
Portland OR 97212-3715
Phone: (503) 335-8611
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 23-QMHA-R-3810 | Oregon |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 11-09-01 | Oregon |
Other Service Providers / Peer Specialist | 175T00000X | Oregon |
Profile Details
NPI number | 1164133260 |
---|---|
LBN Legal business name | Ackerman, Carrie Marie |
Credentials | CADC I, CRM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 9th, 2022 |
Last updated | May 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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