Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juniper Dermatology LLC

Organization Dermatology Physician · NPI 1134856404

Juniper Dermatology LLC is a Dermatology Physician in Bend, Oregon. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

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

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Nw Larch Ave, Redmond, OR 97756-1992 — (541) 585-7546

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1134856404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karla Pivik — Authorized Official · (541) 647-9634
NPI enumeratedAugust 5, 2022
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026
Mailing address2450 Ne Mary Rose Pl Ste 201, Bend, OR 97701-7133

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