Individual provider · Type 1 NPI

Randall Joseph Burnett

Mental Health Counselor · Gresham, OR

NPI number 1124712377 Active

Practice location

831 NW Council Dr Ste 300
Gresham, OR 97030-3725

Mailing address

11035 NE Sandy Blvd
Portland, OR 97220-2553

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124712377

Randall Joseph Burnett's National Provider Identifier is 1124712377, issued on Jun 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Jun 8, 2023.