Individual provider Active NPI

Robert Lester Colpean III, LCSW

  • Clinical Social Worker
  • North Plains, OR
National Provider Identifier
1194596577
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17875 Issued in OR
Practice address
30966 NW Kaybern St
North Plains, OR 97133-7176
Phone
(971) 275-6257
NPI assigned
Jan 12, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L17875 OR Primary

Addresses

Primary practice location

30966 NW Kaybern St
North Plains, OR 97133-7176

Mailing address

30966 NW Kaybern St
North Plains, OR 97133-7176
Phone (971) 275-6257

Other practice location 1

5441 S MacAdam Ave Ste N
Portland, OR 97239-3822
Phone (971) 421-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L17875ORMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1194596577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30966 NW KAYBERN ST",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971337176",
            "telephone_number": "971-275-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30966 NW KAYBERN ST",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971337176",
            "telephone_number": "971-275-6257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5441 S MacAdam Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393822",
            "country_code": "US",
            "telephone_number": "971-421-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLPEAN",
        "first_name": "ROBERT",
        "middle_name": "LESTER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.