Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse N Spain, CADCII/QMHA-I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477911477

Jesse N Spain, CADCII/QMHA-I is an Addiction (Substance Use Disorder) Counselor in Gresham, Oregon. Works from 4 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

620 NE 2nd St
Gresham, OR 97030-7514
Phone: (971) 274-3757
Fax: (503) 912-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1631 Sw Columbia St, Portland, OR 97201-6025 — (503) 231-2641
  • 1776 Sw Madison St, Portland, OR 97205-1715 — (503) 224-1044
  • 17645 Nw Saint Helens Rd, Portland, OR 97231-1729 — (503) 621-1069

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17-04-13 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 15-01-09 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19-QMHA-I-00297 (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1477911477
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII/QMHA-I
Sole proprietorNo
NPI enumeratedFebruary 4, 2016
Last updated in NPPESJuly 11, 2019

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