Individual provider · Type 1 NPI

Richard J. Breunissen, QMHP-R

Mental Health Counselor · Portland, OR

NPI number 1568079929 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Call (503) 548-0346 Map

Fax (503) 232-5959

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X20-QMHP-R-0454 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1568079929

Richard J. Breunissen, QMHP-R's National Provider Identifier is 1568079929, issued on Sep 29, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 2, 2021.