Organization
DEJUAN T SINGLETARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEJUAN SINGLETARY MD (OWNER)
(541) 382-1395
Entity
Organization
Contact information
Practice address
2100 NE WYATT CT, STE 202, BEND, OR 97701-7702
(541) 382-1395
(541) 382-6576
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD26253
OR
Other
Enumeration date
10/18/2006
Last updated
10/11/2007
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