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

Individual provider Mental Health Counselor · NPI 1427066604

Mrs. Gina Dora Patriarca, QMHP is a Mental Health Counselor in Portland, Oregon. Qualified in 1999, 27 years ago. Practices with Portland Dbt Institute Inc, a 28-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
27
In the registry since
2006
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Practice location Address checks out

847 NE 19th Ave Ste 100
Portland, OR 97232
Phone: (503) 238-1769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 412 Sw 12th Ave, Portland, OR 97205-2329 — (503) 552-0767

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1427066604
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESJune 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Portland Dbt Institute Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland