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

Charlie Roach, LAC

Individual provider Acupuncturist · NPI 1104465079

Charlie Roach, LAC is an Acupuncturist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

550 SW Industrial Way Ste 130
Bend, OR 97702-1011
Phone: (541) 213-5829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC169915 (OR)

Record details

NPI number1104465079
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedDecember 24, 2019
Last updated in NPPESDecember 24, 2019
Certification dateDecember 24, 2019
Mailing address550 Sw Industrial Way Ste 130, Bend, OR 97702-1011

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