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Richard J Breunissen, QMHP-R
Mental Health Counselor in Portland, Oregon
NPI 1568079929

Richard J Breunissen is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Richard J Breunissen practices in Portland, OR and has the professional credentials of QMHP-R. The NPI Number for Richard J Breunissen is 1568079929 and holds a License No. 20-QMHP-R-0454 (Oregon).

The current practice location address for Richard J Breunissen is 1438 Se Division St, Portland, OR and can be reached out via phone at 503-548-0346 and via fax at 503-232-5959.

Location: 1438 Se Division St, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1568079929
Provider Name
Richard J Breunissen
Credential
QMHP-R
Provider Entity Type
Individual
Gender
Male
Address
1438 Se Division St, Portland, OR, 97205-1715
Phone Number
503-548-0346
Fax Number
503-232-5959
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500785210 05 OR
institution
Provider Business Practice Location Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider Business Mailing Address Details
Address
1438 Se Division St
City
State
Zip
97202-1140
Phone Number
503-548-0346
Fax Number
503-232-5959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
20-QMHP-R-0454 (Oregon)
Definition
Definition to come...
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