Juniper Dermatology Llc

LBN: Juniper Dermatology Llc
Juniper Dermatology Llc is an health care organization with primary practice located at 2450 Ne Mary Rose Pl Ste 201 , Bend OR 97701-7133. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Juniper Dermatology Llc can be contacted via phone (541) 585-7546, or through Pivik, Karla via phone (541) 647-9634.

Contact Information

Primary practice address
2450 Ne Mary Rose Pl Ste 201 Bend OR 97701-7133
Phone: (541) 585-7546
Fax: (541) 582-7177
Website:
Map and Directions
Authorized official contact:
Name: Pivik, Karla Doctor of Osteopathy (DO)
Phone: (541) 647-9634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1134856404
LBN Legal business name Juniper Dermatology Llc
DBA Doing business as
Authorized official Pivik, Karla Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2022
Last updated Nov 1st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134856404 NPPES
Other 193400000X TAXONOMY CODE

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