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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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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