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NPI Code Detail

MEDICARE: RACHEL BURK

MEDICARE: RACHEL BURK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1477277002
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BURK
Provider Business Mailing Address
First Line : PO BOX 873882
Second Line :
City : VANCOUVER
State : WA
Zip : 98687-3882
Country : US
Telephone Number : 503-320-7136
Fax Number : 503-776-7719
Provider Business Practice Location Address
First Line : 1827 NE 44TH AVE STE 310
Second Line :
City : PORTLAND
State : OR
Zip : 97213-1468
Country : US
Telephone Number : 503-320-7136
Fax Number : 503-776-7719
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 03/09/2026

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Directions to “ RACHEL BURK ” Practice Location

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