Individual provider · Type 1 NPI

Regina Theresa Burck, QMHP

Mental Health Counselor · Gresham, OR

NPI number 1225656366 Active

Practice location

21440 SE Stark St
Gresham, OR 97030-2024

Call (971) 703-4623 Map

Mailing address

11010 SE Division St Ste 200
Portland, OR 97266-6400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X24-QMHPC-001573 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1225656366

Regina Theresa Burck, QMHP's National Provider Identifier is 1225656366, issued on Jul 6, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gresham, OR. The record was last updated on Jul 23, 2025.