TERRESSA MICHELLE BURBIDGE BS
NPI 1417625294
Counselor - Mental Health in Portland, OR

Active since September 05, 2021
12121 E BURNSIDE ST, PORTLAND, OR 97216(971) 361-7700 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Terressa Michelle Burbidge Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRESSA MICHELLE BURBIDGE BS (NPI 1417625294) is an individual mental health provider in Portland, Oregon, licensed in Oregon (21-QMHA-R-1781) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1417625294
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTERRESSA MICHELLE BURBIDGECredential: BS
Location Address12121 E BURNSIDE STPortland, OR 97216-3737
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681
Sole ProprietorNo
Enumeration DateSeptember 5, 2021
Last NPPES UpdateJuly 8, 2022
NPPES CertifiedJuly 8, 2022
NPI 1417625294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OR · 21-QMHA-R-1781
12121 E BURNSIDE ST, Portland, OR 97216

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Professional)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Social Worker (Clinical)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Psychiatric/Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Nurse Practitioner (Family)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Licensed Practical Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
12121 E BURNSIDE ST
PORTLAND, OR 97216
Counselor (Mental Health)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Pharmacy (Clinic Pharmacy)
12121 E BURNSIDE ST
PORTLAND, OR 97216
Peer Specialist
12121 E BURNSIDE ST
PORTLAND, OR 97216
Registered Nurse
12121 E BURNSIDE ST
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417625294, enumerated as an "individual" on September 05, 2021.

The provider is located at 12121 E BURNSIDE ST PORTLAND, OR 97216 and the phone number is (971) 361-7700.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.