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JESSICA L SPAIN CADC I/QMHA-R
NPI 1013430271
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since July 19, 2017
1631 SW COLUMBIA ST, PORTLAND, OR 97201(503) 231-2641(503) 231-1654 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2021, Dec 20, 2019, Oct 11, 2019 and 5 more (8 updates tracked since 2017).

About Jessica L Spain Cadc I/qmha-r NPPES

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

JESSICA L SPAIN CADC I/QMHA-R (NPI 1013430271) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (20-03-16U) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1013430271
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA L SPAINCredential: CADC I/QMHA-R
Location Address1631 SW COLUMBIA STPortland, OR 97201-6025
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 231-2641
Fax(503) 231-1654
Sole ProprietorNo
Enumeration DateJuly 19, 2017
Last NPPES UpdateJanuary 6, 20218 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2021
✔ NPI 1013430271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 20-03-16U
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19-QMHA-R-0061 (OR)
1631 SW COLUMBIA ST, Portland, OR 97201
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Other Identifiers 2

Medicaid500738245OR
Medicaid500774907OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER C LEWIS CRM/PSS
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
NICOLE MARIE WILLIAMS CADC II/QMHA-I
Counselor (Mental Health)
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
ANDULIA WHITE ELK CADCI
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
MIKE W BROCKMAN CADC II/QMHA-I
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
OULU MARIE NOONAN CADC-R
Rehabilitation Practitioner
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
PEGGY LACOMBE CADCII
Counselor (Addiction (Substance Use Disorder))
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
NAIMAH JOHNSON QMHA-I
Counselor (Mental Health)
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641
PAMELA YOUNG RN
Registered Nurse
1631 SW COLUMBIA ST
PORTLAND, OR 97201
Multnomah County (503) 231-2641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Spain's NPI number?

The NPI number for Jessica Spain is 1013430271. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Jessica Spain located?

Jessica Spain practices at 1631 SW Columbia St, Portland, OR 97201. The listed phone number is (503) 231-2641.

What is Jessica Spain's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Spain was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.