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Search › Oregon › Clinical Social Worker

Jesse Coburn, LSCW, CADC II, SUDP

NPI 1902463086 · on the registry since 2019 · sole proprietor

Practice

Address
5257 Ne Mlk Jr Blvd Ste 201
Portland, OR 97211
Phone
(503) 954-2077
Fax
(503) 954-2089
Organisation at this address
Shellmire Unlimited
Restoration Counseling
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Addiction (Substance Use Disorder) Counselor
Clinical Social Worker
Addiction (Substance Use Disorder) Counselor
Clinical Social Worker
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon