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

Regina Theresa Burck, QMHP

Individual provider Mental Health Counselor · NPI 1225656366

Regina Theresa Burck, QMHP is a Mental Health Counselor in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020

Practice location Address checks out

21440 SE Stark St
Gresham, OR 97030-2024
Phone: (971) 703-4623
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 24-QMHPC-001573 (OR)

Record details

NPI number1225656366
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHP
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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