Charles Joseph Dezort
Charles Joseph Dezort is a Peer Specialist in Bend, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
63311 Jamison StBend, OR 97703-8288
Phone: (541) 322-7500
Fax: (541) 322-7565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1114545787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2020 |
| Last updated in NPPES | July 10, 2020 |
| Certification date | July 10, 2020 |
| Mailing address | 2577 Ne Courtney Dr, Bend, OR 97701-7752 |
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