# DEJUAN T SINGLETARY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114008687
- **Authorized official:** DR. DEJUAN SINGLETARY MD (OWNER)
- **Authorized official phone:** (541) 382-1395

## Contact information

- **Practice address:** 2100 NE WYATT CT, STE 202, BEND, OR 97701-7702
- **Practice address phone:** (541) 382-1395
- **Practice address fax:** (541) 382-6576
- **Mailing address:** 3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
- **Mailing address phone:** (503) 284-8841
- **Mailing address fax:** (503) 282-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD26253 | OR | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 10/11/2007