Provider Demographics
NPI:1710877147
Name:EV JUNIPER LLC
Entity type:Organization
Organization Name:EV JUNIPER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EVREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNIPER
Authorized Official - Suffix:
Authorized Official - Credentials:DACCHM, LAC
Authorized Official - Phone:562-310-3594
Mailing Address - Street 1:17473 HARRIET AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1536
Mailing Address - Country:US
Mailing Address - Phone:562-310-3594
Mailing Address - Fax:
Practice Address - Street 1:5427 GLEN ECHO AVE
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:OR
Practice Address - Zip Code:97027-2627
Practice Address - Country:US
Practice Address - Phone:562-310-3594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty