SearchOregon101YM0800X

Regina Burck, QMHP

NPI 1225656366 · on the registry since 2020

Practice

Address
21440 Se Stark St
Gresham, OR 97030
Phone
(971) 703-4623
Clinicians at this address
13

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon