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CHARLES JOSEPH DEZORT
NPI 1114545787
Peer Specialist in Bend, OR

Active since July 10, 2020
63311 JAMISON ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Joseph Dezort NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES JOSEPH DEZORT (NPI 1114545787) is an individual peer specialist in Bend, Oregon and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1114545787
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHARLES JOSEPH DEZORT
Location Address63311 JAMISON STBend, OR 97703-8288
Mailing Address2577 Ne Courtney DrBend, OR 97701-7752 · (541) 322-7500 · Fax (541) 322-7565
Phone(541) 322-7500
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJuly 10, 2020
NPPES CertifiedJuly 10, 2020
✔ NPI 1114545787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
63311 JAMISON ST, Bend, OR 97703
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA RAE WIMBISH
Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
VICTORIA MAFFEO
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
MATTHEW JARED GRAFFENBERGER QMHA
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOSHUA JAMES GAGE
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
CHRISTINA HOPE ROWE
Peer Specialist
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
NICOLE RENEE MCCLENDON LMSW
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
JOHN STEWART
Counselor (Mental Health)
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500
HEATHER BELL
Case Manager/Care Coordinator
63311 JAMISON ST
BEND, OR 97703
Deschutes County (541) 322-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Dezort's NPI number?

The NPI number for Charles Dezort is 1114545787. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Charles Dezort located?

Charles Dezort practices at 63311 Jamison St, Bend, OR 97703. The listed phone number is (541) 322-7500.

What is Charles Dezort's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Charles Dezort was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.