| Jesse N Spain, CADC II/QMHA-I | |
| 
					620 Ne 2nd St, Gresham, OR 97030-7514  | |
| (971) 274-3757 | |
| (503) 912-5740 | 
| Full Name | Jesse N Spain | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 620 Ne 2nd St, Gresham, Oregon | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477911477 | NPI | - | NPPES | 
| 500700056 | Medicaid | OR | |
| 500722603 | Medicaid | OR | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jesse N Spain, CADC II/QMHA-I 12104 Se Tibbetts St, Portland, OR 97266-1049 Ph: (971) 212-5312  | Jesse N Spain, CADC II/QMHA-I 620 Ne 2nd St, Gresham, OR 97030-7514 Ph: (971) 274-3757  | 
Deanna Rae Shields, CADC-R/CRM/PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 355 Nw Division St, Gresham, OR 97030 Phone: 503-231-2641 Fax: 503-231-1654  | |
Amy Marie Elness, CADC II/QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Ne 2nd St, Gresham, OR 97030 Phone: 971-274-3757 Fax: 503-912-5740  | |
Joey Owen Patton,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Powell Blvd, Gresham, OR 97030 Phone: 360-977-0450  | |
Mr. Sammy Travis Freshner Jr., M.ED, MAC, LPCRA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1584 Ne 8th St Ste 200, Gresham, OR 97030 Phone: 503-890-8773  | |
Laurie Anne Ricken, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Ne 7th St, Gresham, OR 97030 Phone: 503-661-5455  | |
Mr. David J. Lowe, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1890 Ne Cleveland Ave, Gresham, OR 97030 Phone: 503-492-1200  | |
Drake Miyake, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 300, Gresham, OR 97030 Phone: 503-258-4600  |