Individual
BRANDY GERKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA-I
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25-QMHA-R-7016
OR
101YM0800X
Mental Health Counselor
Primary
26-QMHA-I-005541
OR
Other
Enumeration date
05/15/2025
Last updated
03/31/2026
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