Evren Rose Juniper, LAC
Individual provider Active NPI Acupuncturist · Oregon City, OR
NPI 1003568965 · NPPES record last updated Jan 21, 2022
Key facts
- NPI
- 1003568965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 207115 (OR)
- Practice address
- 17473 Harriet Ave
Oregon City, OR 97045-1536 - Phone
- (562) 310-3594
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207115 | OR | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ev Juniper LLC | Acupuncturist | Current |
Accepting new patients |
Locations
5427 Glen Echo Ave
Gladstone, OR 97027
Phone (562) 310-3594
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 207115 | OR | Yes |
Addresses
Primary practice location
17473 Harriet Ave
Oregon City, OR 97045-1536
Mailing address
17473 Harriet Ave
Oregon City, OR 97045-1536
Phone (562) 310-3594
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.