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JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS LLC NPI 1053757666


NPI Information

NPI: 1053757666
Provider Name: JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC

Doing Business As: JUNIPER PEDIATRICS

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 38D2051905

Address:
62930 O B RILEY RD STE 300
BEND, OR
ZIP 97703
Phone: (541) 323-5515
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JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC is a non pharmacy dispensing site in Bend, OR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC NPI is 1053757666. The provider is registered as an organization entity type.
The provider Is Doing Business As Juniper Pediatrics.

The provider's business location address is:

62930 O B RILEY RD STE 300
BEND, OR
ZIP 97703-459
Phone: (541) 323-5515

The provider's authorized official is Deborah P. Coehlo .
The authorized official title is Medical Director and has the following contact phone number (541) 323-5515.

The CLIA number assigned to this NPI record is 38D2051905 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/22/2013 and was last updated on 9/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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