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 1114643814

Crater Lake Acupuncture LLC is an Acupuncturist in Medford, Oregon. Registered with an NPI since 2022.

In the registry since
2022
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

3132 State St Ste 210
Medford, OR 97504-8691
Phone: (541) 414-0503
Fax: (541) 414-0504
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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 number1114643814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Long — Owner · (541) 531-2151
NPI enumeratedOctober 13, 2022
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address524 St Augustine Dr, Medford, OR 97504-2154

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