Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juanita Tucker, QMHP

Individual provider Mental Health Counselor · NPI 1114092145

Juanita Tucker, QMHP is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
3

Practice location Address checks out

3034 NE M L King Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Clinical Social Worker Taxonomy 1041C0700X · Licence L4517 (OR)

Record details

NPI number1114092145
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESDecember 21, 2012

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