# JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC
- **Other names:** Juniper Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053757666
- **Legal business name:** JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC
- **Authorized official:** DEBORAH P. COEHLO NP (MEDICAL DIRECTOR)
- **Authorized official phone:** (541) 323-5515

## Contact information

- **Practice address:** 62930 O B RILEY RD STE 300, BEND, OR 97703-9459
- **Practice address phone:** (541) 323-5515
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
- **Mailing address phone:** (310) 474-9809
- **Mailing address fax:** (888) 431-8819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 09/09/2019