Individual provider · Type 1 NPI

Charles Joseph Dezort

Peer Specialist · Bend, OR

NPI number 1114545787 Active

Practice location

63311 Jamison St
Bend, OR 97703-8288

Call (541) 322-7500 Map

Fax (541) 322-7565

Mailing address

2577 NE Courtney Dr
Bend, OR 97701-7752

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1114545787

Charles Joseph Dezort's National Provider Identifier is 1114545787, issued on Jul 10, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Bend, OR. The record was last updated on Jul 10, 2020.