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CRATER LAKE ACUPUNCTURE LLC
NPI 1114579109
Acupuncturist in Medford, OR

Active since July 10, 2019
1245 N RIVERSIDE AVE STE 14, MEDFORD, OR 97501(541) 249-9200(541) 262-4100 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crater Lake Acupuncture Llc NPPES

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

CRATER LAKE ACUPUNCTURE LLC (NPI 1114579109) is a healthcare organization registered as an acupuncturist in Medford, Oregon and active in the NPI registry since July 2019. The organization lists Jennifer Long, Owner Of Llc, as its authorized official.

NPPES Registry Identity

NPI1114579109
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NameCRATER LAKE ACUPUNCTURE LLC
Location Address1245 N RIVERSIDE AVE STE 14Medford, OR 97501-4655
Mailing Address524 St Augustine DrMedford, OR 97504-2154 · (541) 531-2151 · Fax (541) 262-4100
Phone(541) 249-9200
Fax(541) 262-4100
Organization SubpartNo
Authorized OfficialJennifer LongOwner Of Llc · (541) 531-2151
Enumeration DateJuly 10, 2019
✔ NPI 1114579109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
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.
1245 N RIVERSIDE AVE STE 14, Medford, OR 97501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Crater Lake Acupuncture LLC's NPI number?

The NPI number for Crater Lake Acupuncture LLC is 1114579109. It was assigned to this organization in the NPPES registry on July 10, 2019.

Where is Crater Lake Acupuncture LLC located?

Crater Lake Acupuncture LLC is located at 1245 N Riverside Ave Ste 14, Medford, OR 97501. The listed phone number is (541) 249-9200.

What is Crater Lake Acupuncture LLC'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 Crater Lake Acupuncture LLC was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.