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JESSE N SPAIN CADC II/QMHA-I
NPI 1477911477
Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active since February 04, 2016
620 NE 2ND ST, GRESHAM, OR 97030(971) 274-3757(503) 912-5740 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2019, Mar 14, 2019, Mar 17, 2018 and 5 more (8 updates tracked since 2016).

About Jesse N Spain Cadc Ii/qmha-i NPPES

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

JESSE N SPAIN CADC II/QMHA-I (NPI 1477911477) is an individual addiction (substance use disorder) provider in Gresham, Oregon, licensed in Oregon (17-04-13) and active in the NPI registry since February 2016. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477911477
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJESSE N SPAINCredential: CADC II/QMHA-I
Location Address620 NE 2ND STGresham, OR 97030-7514
Mailing Address12104 Se Tibbetts StPortland, OR 97266-1049 · (971) 212-5312
Phone(971) 274-3757
Fax(503) 912-5740
Sole ProprietorNo
Enumeration DateFebruary 4, 2016
Last NPPES UpdateJuly 11, 20198 updates tracked since enumeration
✔ NPI 1477911477 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
Licenses✔ Licensed in OR · 17-04-13✔ Licensed in OR · 15-01-09
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19-QMHA-I-00297 (OR)
620 NE 2ND ST, Gresham, OR 97030
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11776 SW Madison StPortland, OR 97205-1715 · Phone (503) 224-1044 · Fax (503) 621-2235
Location 21631 SW Columbia StPortland, OR 97201-6025 · Phone (503) 231-2641 · Fax (503) 231-1654
Location 317645 NW Saint Helens RdPortland, OR 97231-1729 · Phone (503) 621-1069 · Fax (503) 621-0200

Other Identifiers 2

Medicaid500722603OR
Medicaid500700056OR

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.

KATHY A LITVIN CSWA/QMHP-C
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
MISS ELIZABETH L VALADEZ CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
CHRISTINA H COLLIER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JESSICA A TRAILER QMHA-I
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DANIELLE CURTIS CRM-II CADC-I QMHA-R
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
ALBIE M LEMOS CADC-R/CSWA
Social Worker
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
JUDITH YADIRA BRACAMONTES QMHA-R
Counselor (Mental Health)
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757
DUANE W KOWALSKI CRM/PSS
Counselor (Addiction (Substance Use Disorder))
620 NE 2ND ST
GRESHAM, OR 97030
Multnomah County (971) 274-3757

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 Jesse Spain's NPI number?

The NPI number for Jesse Spain is 1477911477. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Jesse Spain located?

Jesse Spain practices at 620 NE 2nd St, Gresham, OR 97030. The listed phone number is (971) 274-3757.

What is Jesse 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 Jesse Spain was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.