Organization · Type 2 NPI

Juniper Ridge Developmental and Behavioral Pediatrics, LLC

Non-Pharmacy Dispensing Site · Bend, OR

NPI number 1053757666 Active

Practice location

62930 O B Riley Rd Ste 300
Bend, OR 97703-9459

Call (541) 323-5515 Map

Mailing address

2980 N Beverly Glen Cir, Suite 100
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: 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.)

3 other providers at this address

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NPI record

NPI: 1053757666
Entity type: Organization (Type 2)
Issued: May 22, 2013
Last updated: Sep 9, 2019
Status: Active
Subpart: Yes of Juniper Ridge Developmental and Behavioral Pediatrics, LLC

Other names

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Juniper Pediatrics · doing business as
Juniper Pediatrics · doing business as

Authorized official

Deborah P. Coehlo, NP
Medical Director
(541) 323-5515

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About NPI 1053757666

Juniper Ridge Developmental and Behavioral Pediatrics, LLC's National Provider Identifier is 1053757666, issued on May 22, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Bend, OR. The record was last updated on Sep 9, 2019.