Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crater Lake Acupuncture LLC

Organization Acupuncturist · NPI 1114579109

Crater Lake Acupuncture LLC is an Acupuncturist in Medford, Oregon. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1245 N Riverside Ave Ste 14
Medford, OR 97501-4655
Phone: (541) 249-9200
Fax: (541) 262-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X

Record details

NPI number1114579109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Long — Owner Of Llc · (541) 531-2151
NPI enumeratedJuly 10, 2019
Last updated in NPPESJuly 10, 2019
Mailing address524 St Augustine Dr, Medford, OR 97504-2154

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