Search › Oregon › 106H00000X
Charles Dickerman, LMFT, CADC III, SUDP
NPI 1548433261 · on the registry since 2008
Practice
- Address
- 19500 Se Stark St
Portland, OR 97233 - Phone
- (503) 249-3434
- Organisation at this address
- Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The NorthwestInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon