NPI 1134856404 · live from the CMS NPI Registry
Juniper Dermatology LLC
Dermatology in Bend, OR. National Provider Identifier 1134856404, active.
NPI record
| NPI | 1134856404 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701 |
| Practice phone | 541-585-7546 |
| Enumerated | August 5, 2022 |
| Last updated | May 13, 2026 |
| Authorized official | Karla Pivik, Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.