Individual provider · Type 1 NPI

Carol Ann Burckhardt, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1124076013 Active

Practice location

727 W Burnside
Portland, OR 97209

Mailing address

244 Greenridge Dr.
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X083040504N6 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1124076013

Carol Ann Burckhardt, PMHNP's National Provider Identifier is 1124076013, issued on May 4, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.