IndividualActive
Charlie Roach, LAC
NPI 1104465079 · Acupuncturist · Bend, OR
Charlie Roach, LAC is a Acupuncturist provider in Bend, OR (NPI 1104465079).
Provider details
- NPI number
- 1104465079
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AC169915 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
550 Sw Industrial Way Ste 130
Bend, OR 97702-1011
Phone: (541) 213-5829
Street-level locationGet directions
Mailing address
550 Sw Industrial Way Ste 130
Bend, OR 97702-1011
Registry dates
- Enumerated
- 2019-12-24
- Last updated
- 2019-12-24
- Certified
- 2019-12-24
Frequently asked questions
- What is Charlie Roach's NPI number?
- Charlie Roach's National Provider Identifier (NPI) is 1104465079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlie Roach's specialty?
- Charlie Roach is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Charlie Roach located?
- Charlie Roach's practice location on file with NPPES is 550 Sw Industrial Way Ste 130, Bend, OR 97702-1011.
- What is Charlie Roach's phone number?
- The practice phone number listed in the NPPES registry for Charlie Roach is (541) 213-5829.
- Is Charlie Roach's NPI active?
- Yes — Charlie Roach's NPI (1104465079) is active in the NPPES registry as of the last update on 2019-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.