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PAUL O NELSON CADC CANDIDATE/QMHP
NPI 1750752010
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 13, 2015
17645 NW SAINT HELENS RD, PORTLAND, OR 97231(503) 621-1069(503) 621-0200 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2019, Jul 5, 2018 (2 updates tracked since 2018).

About Paul O Nelson Cadc Candidate/qmhp NPPES

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

PAUL O NELSON CADC CANDIDATE/QMHP (NPI 1750752010) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-18-281) and active in the NPI registry since October 2015. He maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1750752010
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePAUL O NELSONCredential: CADC CANDIDATE/QMHP
Location Address17645 NW SAINT HELENS RDPortland, OR 97231
Mailing Address19474 Se 38th WayCamas, WA 97607 · (650) 430-7285
Phone(503) 621-1069
Fax(503) 621-0200
Sole ProprietorNo
Enumeration DateOctober 13, 2015
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1750752010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · T-18-281
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 56125 (CA), IMF80598 (CA)
17645 NW SAINT HELENS RD, Portland, OR 97231
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Secondary Practice Location 1

Location 115 9th AveSan Mateo, CA 94401-4302 · Phone (415) 579-7157

Other Identifiers 2

Medicaid500747233OR
Medicaid500746319OR

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.

NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
MICHAEL HENRY LARICCIA CADC I
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMBER R ESPINO-BARNES CADC II/QMHP-C
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
LUCY ROSE PETERSON CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
PAMELA MARIE SADELMYER CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMY C SMITH CADC, CRM, QMHA
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
VICTORIA K LABUHN RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
JANUS K VANDERHOOF CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069

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 Paul Nelson's NPI number?

The NPI number for Paul Nelson is 1750752010. It was assigned to this individual provider in the NPPES registry on October 13, 2015.

Where is Paul Nelson located?

Paul Nelson practices at 17645 NW Saint Helens Rd, Portland, OR 97231. The listed phone number is (503) 621-1069.

What is Paul Nelson'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 Paul Nelson was last updated on February 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.