National Provider Identifier Database

JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Pediatrics


Contact Information

JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
62930 O B RILEY RD STE 300
BEND, OR97703-9459
Phone: 541-323-5515
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS

NPI Number 1225382617
Legal business name
LBN
JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Authorized official DEBORAH COEHLO - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 11/06/2012
Last updated 09/09/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS

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