REGINA THERESA BURCK

GRESHAM, OR
NPI1225656366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHPC-001573)
Enumeration Date2020-07-06
Last Update Date2025-07-23
Business Address
REGINA THERESA BURCK QMHP
21440 SE STARK ST
GRESHAM, OR 97030-2024
Phone number: 971-703-4623
Mailing Address
REGINA THERESA BURCK QMHP
11010 SE DIVISION ST STE 200
PORTLAND, OR 97266-6400
Phone number: 971-703-4623
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