Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Dickerman, LMFT, CADCIII, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1548433261

Charles Dickerman, LMFT, CADCIII, SUDP is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2008.

Licensed in
OR, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

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Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (503) 249-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T0866 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 11-06-19 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60796757 (WA)

Record details

NPI number1548433261
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT , CADCIII , SUDP
Sole proprietorNo
NPI enumeratedApril 3, 2008
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023

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