Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Richard J Breunissen, QMHP-R

Individual provider Mental Health Counselor · NPI 1568079929

Richard J Breunissen, QMHP-R is a Mental Health Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
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Practice location Address checks out

1438 SE Division St
Portland, OR 97202-1140
Phone: (503) 548-0346
Fax: (503) 232-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 20-QMHP-R-0454 (OR)

Record details

NPI number1568079929
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHP-R
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESMarch 2, 2021
Certification dateMarch 2, 2021

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