Charles Dickerman
LMFT, CADC III, SUDP | Addiction (Substance Use Disorder) Counselor
19500 Se Stark St, Portland
Oregon, 97233-5757
503-249-3434 Maps & DirectionsCharles Dickerman is a Portland, Oregon based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Charles Dickerman is T0866 for Marriage & Family Therapist in Oregon. His current practice location is 19500 Se Stark St, Portland. Patients can book an appointment with him at 503-249-3434.
Charles Dickerman is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Charles Dickerman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Charles Dickerman |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | LMFT, CADC III, SUDP |
| Accepts Medicare Assignment: | No |
| Practice Address: | 19500 Se Stark St, Portland,
Oregon, 97233-5757 |
| Phone: | 503-249-3434 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548433261 |
| NPI Enumeration Date: | 03 Apr, 2008 |
| NPI Last Update On: | 27 Dec, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Dickerman are as mentioned below.
| License Number | Specialization | State | Status | |
| T0866 | Marriage & Family Therapist | Oregon | Primary | |
| 11-06-19 | Addiction (Substance Use Disorder) Counselor | Oregon | Secondary | |
| CP60796757 | Addiction (Substance Use Disorder) Counselor | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Dickerman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 164936 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19500 Se Stark St,
Portland, Oregon |
| Zip: | 97233-5757 |
| Phone Number: | 503-249-3434 |
Patients can reach Charles Dickerman at
19500 Se Stark St, Portland, Oregon or can
call to book an appointment on 503-249-3434.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.