1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Social Worker
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE WAYNE COBURN LSCW, CADC II, SUDP
NPI 1902463086
Social Worker - Clinical in Portland, OR

Active since May 23, 2019
83.86/100
CMS Quality Rating
5257 NE MLK JR BLVD STE 201, PORTLAND, OR 97211(503) 954-2077(503) 954-2089 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Aug 7, 2023, Aug 20, 2020 and 1 more (4 updates tracked since 2019).

About Jesse Wayne Coburn Lscw, Cadc Ii, Sudp NPPES

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

JESSE WAYNE COBURN LSCW, CADC II, SUDP (NPI 1902463086) is an individual clinical provider in Portland, Oregon, licensed in Washington (LW61327515) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1902463086
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJESSE WAYNE COBURNCredential: LSCW, CADC II, SUDP
Location Address5257 NE MLK JR BLVD STE 201Portland, OR 97211-3283
Mailing Address50 12th AveMilton, WA 98354-6500 · (208) 404-1501
Phone(503) 954-2077
Fax(503) 954-2089
Sole ProprietorYes
Enumeration DateMay 23, 2019
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1902463086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in WA · LW61327515✔ Licensed in OR · L10830✔ Licensed in OR · L18030
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19-10-32 (OR), CP61374175 (WA)
5257 NE MLK JR BLVD STE 201, Portland, OR 97211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.72
Promoting Interoperability57
Improvement Activities40
Cost100

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 Coburn's NPI number?

The NPI number for Jesse Coburn is 1902463086. It was assigned to this individual provider in the NPPES registry on May 23, 2019.

Where is Jesse Coburn located?

Jesse Coburn practices at 5257 NE Mlk Jr Blvd Ste 201, Portland, OR 97211. The listed phone number is (503) 954-2077.

What is Jesse Coburn's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jesse Coburn accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Jesse Coburn 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 Jesse Coburn was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.