Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICK DOUGLASS STATEN, PH.D.,LPC, CADC III
ActiveFREDERICK DOUGLASS STATEN, PH.D.,LPC, CADC III is a Professional Counselor healthcare provider located in PORTLAND, Oregon. NPI 1417216730 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PORTLAND, OR
Registration Details
- NPI Number
- 1417216730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2012 (14.263016531343 yrs)
- Last Updated
- Aug 28, 2025
- Licenses
-
LH60296096 (WA)C2994 (OR)
Practice Information
- Address
-
10920 SW BARBUR BLVDPORTLAND, OR, 972198600Browse OR providers · Browse ZIP 97219
- Phone
- 5032444500
- Fax
- 5032442008
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHLEEN MARIE LOVE | LPC | 1427047927 |
| NANCY C BOBERNAC | LPC | 1912986696 |
| JOHN MICHAEL CHAPMAN | LPC | 1346213584 |
| MS. RACHEL ELIZABETH STARCK | MA LICENSED PROFESSI | 1033187315 |
| MS. HEIDI JOLSON | MA LPC NCC CADC I | 1417917246 |
| FAITH E WINTERS | LPC, CFLE | 1255392502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.