Frederick Douglass Staten
PH.D.,LPC, CADC III | Professional Counselor
10920 Sw Barbur Blvd, Portland
Oregon, 97219-8600
503-244-4500 503-244-2008
Maps & DirectionsFrederick Douglass Staten is a Portland, Oregon based counselor who is specialized as Professional Counselor. Active license number of Frederick Douglass Staten is C4765 for Professional Counselor in Oregon. His current practice location is 10920 Sw Barbur Blvd, Portland. Patients can book an appointment with him at 503-244-4500.
Frederick Douglass Staten is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Frederick Douglass Staten 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: | Frederick Douglass Staten |
| Specialization: | Professional Counselor |
| Gender: | Male |
| Credentials: | PH.D.,LPC, CADC III |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10920 Sw Barbur Blvd, Portland,
Oregon, 97219-8600 |
| Phone: | 503-244-4500 |
| Fax: | 503-244-2008 |
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: | 1417216730 |
| NPI Enumeration Date: | 07 May, 2012 |
| NPI Last Update On: | 13 Mar, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Frederick Douglass Staten are as mentioned below.
| License Number | Specialization | State | Status | |
| C4765 | Professional Counselor | Oregon | Primary | |
| LH60296096 | Professional Counselor | Washington | Secondary | |
| Addiction (Substance Use Disorder) Counselor | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 8459,
Portland, Oregon |
| Zip: | 97207-8459 |
| Phone Number: | 503-230-9654 |
Patients can reach Frederick Douglass Staten at
10920 Sw Barbur Blvd, Portland, Oregon or can
call to book an appointment on 503-244-4500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.