Jesse Coburn, LSCW, CADC II, SUDP
NPI 1902463086 · Clinical Social Worker · Portland, OR
Jesse Coburn, LSCW, CADC II, SUDP is a Clinical Social Worker provider in Portland, OR (NPI 1902463086).
Provider details
- NPI number
- 1902463086
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSCW, CADC II, SUDP
- Sex
- Male
- Sole proprietor
- Yes
- License
- CP61374175 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-23
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Jesse Coburn's NPI number?
- Jesse Coburn's National Provider Identifier (NPI) is 1902463086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Coburn's specialty?
- Jesse Coburn is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jesse Coburn located?
- Jesse Coburn's practice location on file with NPPES is 5257 Ne Mlk Jr Blvd Ste 201, Portland, OR 97211-3283.
- What is Jesse Coburn's phone number?
- The practice phone number listed in the NPPES registry for Jesse Coburn is (503) 954-2077.
- Is Jesse Coburn's NPI active?
- Yes — Jesse Coburn's NPI (1902463086) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.