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

Theodore Lee Pearson III, CADCI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508591637

Theodore Lee Pearson III, CADCI is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1122 NE 122nd Ave # 200
Portland, OR 97230-2081
Phone: (503) 732-6653
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Edgartown Rd, Vineyard Haven, MA 02568 — (508) 693-7900

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20-05-10416 (OR)

Record details

NPI number1508591637
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCI
Sole proprietorNo
NPI enumeratedJuly 21, 2022
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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