CALDERA ACUPUNCTURE LLC NPI 1538884481

NPI Information

NPI: 1538884481
Provider Name: CALDERA ACUPUNCTURE LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1045 NW BOND ST STE 202
BEND, OR
ZIP 97703
Phone: (541) 961-7947
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CALDERA ACUPUNCTURE LLC is an acupuncturist in Bend, OR. The provider is 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. CALDERA ACUPUNCTURE LLC NPI is 1538884481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1045 NW BOND ST STE 202
BEND, OR
ZIP 97703-064
Phone: (541) 961-7947

The provider's authorized official is Christina Clark .
The authorized official title is Owner Operator and has the following contact phone number (541) 961-7947.

The enumeration date for this NPI number is 10/4/2022 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205587	OTHER	OREGON	STATE LICENSE
2	99088	OTHER	MONTANA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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