Jesse Wayne Coburn CSWA, CADC II, QMHP

  • NPI 1902463086
According to our database, the NPI number for Jesse Wayne Coburn CSWA, CADC II, QMHP is 1902463086 and activated since 5 years ago. Jesse Wayne Coburn CSWA, CADC II, QMHP is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1122 Ne 122nd Ave Ste A200, Portland, OR 97230. You can also contact Jesse Wayne Coburn CSWA, CADC II, QMHP via telephone number is (503) 594-4766. Provider NPI information was last updated on 08/20/2020.

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Overview of Jesse Wayne Coburn CSWA, CADC II, QMHP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 05/23/2019
  • Last updated: 08/20/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1122 Ne 122nd Ave Ste A200
    Portland, OR 97230
  • Phone: 503-594-4766
  • Fax:

Provider Practice Location

  • Address: 1122 Ne 122nd Ave Ste A200
    Portland, OR 97230
  • Phone: 503-594-4766
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jesse Wayne Coburn CSWA, CADC II, QMHP?
  • A: The npi number for Jesse Wayne Coburn CSWA, CADC II, QMHP is 1902463086.
  • Q: What are Jesse Wayne Coburn CSWA, CADC II, QMHP's specialties?
  • A: Jesse Wayne Coburn CSWA, CADC II, QMHP's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Jesse Wayne Coburn CSWA, CADC II, QMHP?
  • A: The medical license number for Jesse Wayne Coburn CSWA, CADC II, QMHP is unknow and issued in unknow in USA.
  • Q: Where is Jesse Wayne Coburn CSWA, CADC II, QMHP practice location?
  • A: Jesse Wayne Coburn CSWA, CADC II, QMHP is practicing at 1122 Ne 122nd Ave Ste A200, Portland, OR 97230.
  • Q: How to contact Jesse Wayne Coburn CSWA, CADC II, QMHP?
  • A: You can contact Jesse Wayne Coburn CSWA, CADC II, QMHP via 503-594-4766.