Most Relevant Information
Provider Data
| NPI Number: | 1003206483 |
| Provider Name: | JODY DELAND LMT, CCT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 10110 |
Most Important Dates
| Enumeration Date: | 01/23/2015 |
| Last Updated: | 01/23/2015 |
Provider Practice Location
344 NE MARSHALL AVE
BEND
OR
977014346
Practice Location Phone/Fax
| Phone: | 5419483829 |
| Fax: | 8885089866 |
Provider Mailing Location
PO BOX 3645
SUNRIVER
OR
977070645
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |