CAROL ANN BURCKHARDT PMHNP NPI 1124076013

NPI Information

  • NPI: 1124076013
  • Provider Name: CAROL ANN BURCKHARDT, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 727 W BURNSIDE
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 228-4533

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NPI Details

Carol Ann Burckhardt, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. Carol Ann Burckhardt, PMHNP NPI is 1124076013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

727 W BURNSIDE
PORTLAND, OR
ZIP 97209
Phone: (503) 228-4533

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health083040504N6OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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