| Dejuan T Singletary, Llc | |
|
2100 Ne Wyatt Ct Ste 202 Bend OR 97701-7702 | |
| (541) 382-1395 | |
| (541) 382-6576 |
| Full Name | Dejuan T Singletary, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2100 Ne Wyatt Ct, Bend, Oregon |
| Authorized Official Name and Position | Dejuan Singletary (OWNER) |
| Authorized Official Contact | 5413821395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dejuan T Singletary, Llc 3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 Ph: (503) 284-8841 | Dejuan T Singletary, Llc 2100 Ne Wyatt Ct Ste 202 Bend OR 97701-7702 Ph: (541) 382-1395 |
| NPI Number | 1114008687 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114008687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD26253 (Oregon) | Primary |
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