Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Renata A Ackermann, PHD

Individual provider Clinical Psychologist · NPI 1053453050

Dr. Renata A Ackermann, PHD is a Clinical Psychologist in Portland, Oregon. Qualified in 1994, 32 years ago. Practices with Multnomah County, a 111-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Licensed in
OR
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

619 NW 6th Ave
Portland, OR 97209-3964
Phone: (503) 988-3700
Fax: (503) 988-5520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1777 (OR)

Record details

NPI number1053453050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESApril 10, 2019
Mailing address619 Nw 6th Ave, Portland, OR 97209-3964

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Multnomah County — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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