CRATER LAKE ACUPUNCTURE LLC


Address: 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655
Phone: 5412499200

CRATER LAKE ACUPUNCTURE LLC (NPI# 1114579109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114579109
Entity Type Organization
Organization Name CRATER LAKE ACUPUNCTURE LLC
Practice Address 1245 N Riverside Ave Ste 14
Medford
OR 97501-4655
Mailing Address 524 St Augustine Dr
Medford
OR 97504-2154
Practice Telephone 5412499200
Practice Fax Number 5412624100
Mailing Telephone 5415312151
Mailing Fax Number 5412624100
Enumeration Date 2019-07-10
Last Update Date 2019-07-10
Authorized Official Name JENNIFER LONG (OWNER OF LLC)
Authorized Official Telephone 5415312151
Authorized Official Credential D.A.O.M., L.AC.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist Other Service Providers

Office Location

Street Address 1245 N RIVERSIDE AVE STE 14
City MEDFORD
State OR
Zip Code 97501-4655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215595178 Jennifer Long Acupuncturist 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 2019-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
Find all providers in zip 97501

Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215595178 Jennifer Long Acupuncturist 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 2019-06-04
1730643750 Dr. James Said Chiropractic and Naturopathic Physician Inc Acupuncturist 836 E Main St Ste 5, Medford, OR 97504-7115 2019-01-23
1699209858 Steffi Koerner Acupuncturist 231 Arlington St, Medford, MA 02155-3544 2017-04-14
1942692850 Cynthia Marie Gallant Acupuncturist 25 Brooks Park, Apt 6, Medford, MA 02155-4525 2015-03-02
1104260678 Kathia Engler Kirschner Acupuncturist 80 Governors Ave, Medford, MA 02155-3018 2013-04-26
1932470424 Joshua Ryan Graner Acupuncturist 817 Bennett Ave, Medford, OR 97504-6715 2012-01-16
1306079074 Heather Jamieson Lance Acupuncturist 84 Morton Ave, Apt. 1, Medford, MA 02155-6436 2009-08-28
1679737555 Connie Tjaden Acupuncturist 46 Blackpine Dr, Medford, NY 11763-4103 2008-07-10
1043470255 Debra Kay Miller Acupuncturist 654 E Broadway Ave, Medford, WI 54451-1525 2008-06-11
1275718181 Suzanne Murphy Acupuncturist 639 Stokes Road, Suite 201, Medford, NJ 08055 2008-01-09
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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