Ackerman, Greg

Ackerman, Greg is an individual health care provider with primary practice located at 2318 Ne Mlk Jr Blvd , Portland OR 97212-3715. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ackerman, Greg can be contacted via phone (503) 335-8611.

Contact Information

Primary practice address
2318 Ne Mlk Jr Blvd Portland OR 97212-3715
Phone: (503) 335-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1376611418 Oregon

Profile Details

NPI number 1225421514
LBN Legal business name Ackerman, Greg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2015
Last updated Mar 10th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225421514 NPPES
Oregon MEDICAID 500662131

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