Individual provider · Type 1 NPI

Terressa Michelle Burbidge, BS

Mental Health Counselor · Portland, OR

NPI number 1417625294 Active

Practice location

12121 E Burnside St
Portland, OR 97216-3737

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X21-QMHA-R-1781 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1417625294

Terressa Michelle Burbidge, BS's National Provider Identifier is 1417625294, issued on Sep 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2022.