NPI 1003206483

Jody Deland, LMTCCT

Practitioner Specialist Bend, OR

Practice location

Address: 344 NE Marshall Ave, Bend, OR 97701-4346
Phone: (541) 948-3829
Fax: (888) 508-9866
Mailing address: PO Box 3645, Sunriver, OR 97707-0645

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10110 (OR)

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Registry record

NPI: 1003206483
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2015
Record last updated: 23 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.