Jesse Wayne Coburn
LSCW, CADC II, SUDP | Addiction (Substance Use Disorder) Counselor | 7+ years Exp
5257 Ne Mlk Jr Blvd Ste 201, Portland
Oregon, 97211-3283
503-954-2077 503-954-2089
Maps & DirectionsJesse Wayne Coburn is a Portland, Oregon based counselor with 7 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jesse Wayne Coburn is LW61327515 for Social Worker in Washington. His current practice location is 5257 Ne Mlk Jr Blvd Ste 201, Portland. Patients can book an appointment with him at 503-954-2077.
Jesse Wayne Coburn 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 Wayne Coburn 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 Wayne Coburn |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | LSCW, CADC II, SUDP |
| Experience: | 7+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 5257 Ne Mlk Jr Blvd Ste 201, Portland,
Oregon, 97211-3283 |
| Phone: | 503-954-2077 |
| Fax: | 503-954-2089 |
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.
| PAC ID: | 4688060593 |
| Enrollment ID: | I20220401000605 |
| NPI Number: | 1902463086 |
| NPI Enumeration Date: | 23 May, 2019 |
| NPI Last Update On: | 12 Jun, 2025 |
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 Wayne Coburn are as mentioned below.
| License Number | Specialization | State | Status | |
| LW61327515 | Social Worker | Washington | Primary | |
| CP61374175 | Addiction (Substance Use Disorder) Counselor | Washington | Secondary | |
| 19-10-32 | Addiction (Substance Use Disorder) Counselor | Oregon | Secondary | |
| L10830 | Social Worker | Oregon | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jesse Wayne Coburn is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Columbia Community Mental Health (5395731392) | 8 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 371 E Cronquist Rd,
Allyn, Washington |
| Zip: | 98524-8745 |
| Phone Number: | 208-404-1501 |
Patients can reach Jesse Wayne Coburn at
5257 Ne Mlk Jr Blvd Ste 201, Portland, Oregon or can
call to book an appointment on 503-954-2077.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.