Organization
JUNIPER DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA PIVIK DO (AUTHORIZED OFFICIAL)
(541) 647-9634
Entity
Organization
Contact information
Practice address
2450 NE MARY ROSE PL STE 201, BEND, OR 97701-7133
(541) 585-7546
(541) 582-7177
Mailing address
2450 NE MARY ROSE PL STE 201, BEND, OR 97701-7133
(541) 585-7546
(541) 582-7177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193400000X
TAXONOMY CODE
—
Enumeration date
08/05/2022
Last updated
05/13/2026
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