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CHARLIE ROACH LAC
NPI 1104465079
Acupuncturist in Bend, OR

Active since December 24, 2019
550 SW INDUSTRIAL WAY STE 130, BEND, OR 97702(541) 213-5829 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlie Roach Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLIE ROACH LAC (NPI 1104465079) is an individual acupuncturist in Bend, Oregon, licensed in Oregon (AC169915) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1104465079
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameCHARLIE ROACHCredential: LAC
Location Address550 SW INDUSTRIAL WAY STE 130Bend, OR 97702-1011
Mailing Address550 Sw Industrial Way Ste 130Bend, OR 97702-1011 · (541) 213-5829
Phone(541) 213-5829
Sole ProprietorYes
Enumeration DateDecember 24, 2019
✔ NPI 1104465079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in OR · AC169915
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
550 SW INDUSTRIAL WAY STE 130, Bend, OR 97702
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlie Roach's NPI number?

The NPI number for Charlie Roach is 1104465079. It was assigned to this individual provider in the NPPES registry on December 24, 2019.

Where is Charlie Roach located?

Charlie Roach practices at 550 SW Industrial Way Ste 130, Bend, OR 97702. The listed phone number is (541) 213-5829.

What is Charlie Roach's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Charlie Roach was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.