CHARLES DEZORT
Peer Specialist
Active
Individual
NPI: 1114545787
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1114545787 is the National Provider Identifier for CHARLES DEZORT, a Peer Specialist provider located in Bend, OR. This NPI was enumerated on July 10, 2020.
CHARLES DEZORT practices at 63311 JAMISON ST, Bend, OR 97703.
Quick Facts
- NPI
- 1114545787
- Type
- Individual
- Enumerated
- Jul 10, 2020
- Last Updated
- Jul 10, 2020
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