Jesse Wayne Coburn is a Portland, Oregon based counselor with 6 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:
6+ 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
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.