SEAN NELSON
NPI 1700350402
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Q: What is Sean Nelson's NPI number?

The NPI number for Sean Nelson is 1700350402. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Q: What is Sean Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Nelson was last updated on January 15, 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.

Active since January 15, 2019

1122 NE 122ND AVE STE 102, PORTLAND, OR 97230(310) 750-8960 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Sean Nelson NPPES

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

SEAN NELSON (NPI 1700350402) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-18-469) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1700350402

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSEAN NELSON

Location Address1122 NE 122ND AVE STE 102Portland, OR 97230-2081

Mailing Address11006 Se Henderson DrPortland, OR 97266-5063

Phone(310) 750-8960

Sole ProprietorNo

Enumeration DateJanuary 15, 2019

✔ NPI 1700350402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OR · T-18-469

1122 NE 122ND AVE STE 102, Portland, OR 97230

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

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 Sean Nelson's NPI number?

The NPI number for Sean Nelson is 1700350402. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Sean Nelson located?

Sean Nelson practices at 1122 NE 122nd Ave Ste 102, Portland, OR 97230. The listed phone number is (310) 750-8960.

What is Sean Nelson's specialty?

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

What insurance does Sean Nelson accept?

Health plans from Kaiser Permanente list Sean Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Nelson was last updated on January 15, 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.