NPI 1053757666
Juniper Ridge Developmental and Behavioral Pediatrics, LLC
Practice location
- Address
- 62930 O B Riley Rd STE 300, Bend, OR 97703-9459
- Phone
- (541) 323-5515
- Mailing address
- 2980 N Beverly Glen Cir Suite 100, Los Angeles, CA 90077-1726
Authorised official
- Name
- Deborah P. Coehlo
- Title
- Medical Director
- Phone
- (541) 323-5515
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1053757666
- Entity type
- Organization
- NPI issued
- 22 May 2013
- Record last updated
- 9 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.