Jesse N Spain is a Gresham, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Jesse N Spain is 17-04-13 for Addiction (Substance Use Disorder) Counselor in Oregon. His current practice location is 620 Ne 2nd St, Gresham. Patients can book an appointment with him at 971-274-3757.
Jesse N Spain is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jesse N Spain speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jesse N Spain
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
CADC II/QMHA-I
Accepts Medicare Assignment:
No
Practice Address:
620 Ne 2nd St, Gresham, Oregon, 97030-7514
Phone:
971-274-3757
Fax:
503-912-5740
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1477911477
NPI Enumeration Date:
04 Feb, 2016
NPI Last Update On:
11 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse N Spain are as mentioned below.
License Number
Specialization
State
Status
17-04-13
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
15-01-09
Addiction (Substance Use Disorder) Counselor
Oregon
Secondary
19-QMHA-I-00297
Mental Health Counselor
Oregon
Secondary
Mental Health Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jesse N Spain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500700056
Medicaid
Oregon
500722603
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12104 Se Tibbetts St, Portland, Oregon
Zip:
97266-1049
Phone Number:
971-212-5312
Patients can reach Jesse N Spain at 620 Ne 2nd St, Gresham, Oregon or can call to book an appointment on 971-274-3757. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.