Active NPI
Robert Lester Colpean III, LCSW
- Clinical Social Worker
- North Plains, OR
National Provider Identifier
1194596577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L17875
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L17875 | OR | MD | Clinical 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
- Andrew Lee Thompson DMD PC & Assoc.
- Associated Physicians of North Plains
- Carrie Marie Brisbine
- Jacqueline R Buckner, LMT
- Claro Speech Therapy LLC
- Contour Chiropractic Clinic PC
- Jean Habecker Cuyler, RADIOLOGIC TECH
- Candace Louise Enslow, RDH
- Shane E Espinoza, D.C. CCSP
- Fabulous Healing Nutrition & Wellness LLC
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.