Organization
JUNIPER RIDGE DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH PADGETT COEHLO PHD, C-PNP PMHS CFLE (MANAGING MEMBER)
(541) 323-5515
Entity
Organization
Contact information
Practice address
62930 O B RILEY RD STE 300, BEND, OR 97703-9459
(541) 323-5515
Mailing address
2275 NE DOCTORS DR, SUITE 1, BEND, OR 97701-6324
(541) 323-5515
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
OR
Other
Enumeration date
11/06/2012
Last updated
09/09/2019
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