Healthcare Provider Details

I. General information

NPI: 1518879972
Provider Name (Legal Business Name): JUNIPER POINT CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 GENESIS CT SE
SALEM OR
97306-6930
US

IV. Provider business mailing address

34376 BOND RD
LEBANON OR
97355-9480
US

V. Phone/Fax

Practice location:
  • Phone: 503-877-4282
  • Fax:
Mailing address:
  • Phone: 503-877-4282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SARAH MEYERS
Title or Position: OWNER
Credential:
Phone: 503-877-4282