Individual
CHARLESETTA DOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 944-4401
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(503) 964-6711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22-09-30044
OR
1041C0700X
Clinical Social Worker
L11954
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
07/03/2026
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