Provider Demographics
NPI:1740435163
Name:DESCHUTES COUNTY OREGON
Entity type:Organization
Organization Name:DESCHUTES COUNTY OREGON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH SERVICES DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:INBODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-322-7678
Mailing Address - Street 1:63360 NW BRITTA ST
Mailing Address - Street 2:BLDG 1
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6869
Mailing Address - Country:US
Mailing Address - Phone:541-388-6671
Mailing Address - Fax:541-383-0165
Practice Address - Street 1:1634 SE SALMON ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-3739
Practice Address - Country:US
Practice Address - Phone:503-231-6547
Practice Address - Fax:503-231-6594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-26
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management