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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 Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS

NPI # 1225382617
LBN Legal business name JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Authorized official DEBORAH COEHLO - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2012
Last updated 09/09/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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