Charles Dickerman in Portland - Addiction (substance Use Disorder)
Charles Dickerman - NPI 1548433261
Charles Dickerman is a Addiction (substance Use Disorder) in Portland, Oregon. Charles Dickerman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Charles Dickerman is 1548433261. The last update date is 2021-12-22.
Charles Dickerman's current location address is 19500 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032493434. The mailing address for Charles Dickerman is 19500 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Dickerman |
|---|---|
| Address | 19500 Se Stark St, Portland, Oregon |
| Phone Number | 5032493434 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMFT, CADC |
NPI Number Detail
| NPI Number | 1548433261 |
|---|---|
| Provider Enumeration Date | 2008-04-03 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 19500 Se Stark St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972335757 |
| Phone Number | 5032493434 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CP60796757 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164936 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Dickerman by the Centers for Medicare & Medicaid Services (CMS)?
The Charles Dickerman has been assigned the NPI (National Provider Identifier) 1548433261. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Charles Dickerman's facilities are situated?
The facilities of Charles Dickerman are physically located at the following address: 19500 Se Stark St, Portland, OR, 972335757.
What is Charles Dickerman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charles Dickerman is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When did the Charles Dickerman receive its 1548433261?
The Charles Dickerman was issued its 1548433261 on 2008-04-03, which is the date when the organization was assigned this unique identifier.
When was the Charles Dickerman's information last updated?
The Charles Dickerman's information was last updated on 2021-12-22.