Juniper Dermatology LLC

Dermatology Physician · Bend, OR

Organization Active NPI

NPI number 1134856404

Practice location

2450 NE Mary Rose Pl Ste 201
Bend, OR 97701-7133
Phone
(541) 585-7546
Fax
(541) 582-7177

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NPI record

NPI
1134856404
Entity type
Organization (Type 2)
Enumeration date
August 5, 2022
Last updated
May 13, 2026
Certified
May 13, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X — —

Authorized official

Name
Dr. Karla Pivik, DO
Title
Authorized Official
Phone
(541) 647-9634

Other practice locations (1)

  • 111 NW Larch Ave, Redmond, OR 97756-1992 · (541) 585-7546

About Juniper Dermatology LLC

Juniper Dermatology LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 2450 NE Mary Rose Pl Ste 201, Bend, OR 97701-7133. The NPI number 1134856404 was assigned on August 5, 2022 and the record was last updated on May 13, 2026.

The authorized official for this organization is Dr. Karla Pivik, DO, Authorized Official.

Frequently asked questions

What is the NPI number of Juniper Dermatology LLC?

The NPI number is 1134856404.

What is the phone number of Juniper Dermatology LLC?

The phone number listed for the practice location is (541) 585-7546.

Where is Juniper Dermatology LLC located?

2450 NE Mary Rose Pl Ste 201, Bend, OR 97701-7133.

What is the taxonomy code for Juniper Dermatology LLC?

The primary taxonomy code is 207N00000X – Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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