Charles Joseph Dezort
Peer Specialist · Bend, OR
NPI number
1114545787
Practice location
63311 Jamison StBend, OR 97703-8288
- Phone
- (541) 322-7500
- Fax
- (541) 322-7565
NPI record
- NPI
- 1114545787
- Entity type
- Individual (Type 1)
- Enumeration date
- July 10, 2020
- Last updated
- July 10, 2020
- Certified
- July 10, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | — |
Mailing address
2577 NE Courtney DrBend, OR 97701-7752
- Phone
- (541) 322-7500
- Fax
- (541) 322-7565
About Charles Dezort
Charles Joseph Dezort is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 63311 Jamison St, Bend, OR 97703-8288. The NPI number 1114545787 was assigned on July 10, 2020 and the record was last updated on July 10, 2020.
Frequently asked questions
What is the NPI number of Charles Joseph Dezort?
The NPI number is 1114545787.
What is the phone number of Charles Dezort?
The phone number listed for the practice location is (541) 322-7500.
Where is Charles Dezort located?
63311 Jamison St, Bend, OR 97703-8288.
What is the taxonomy code for Charles Dezort?
The primary taxonomy code is 175T00000X – Peer Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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