OrganizationActive
Crater Lake Acupuncture LLC
NPI 1114579109 · Acupuncturist · Medford, OR
Provider details
- NPI number
- 1114579109
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Long, Owner of LLC(541) 531-2151
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(66/100 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
1245 N Riverside Ave Ste 14
Medford, OR 97501-4655
Phone: (541) 249-9200
Fax: (541) 262-4100
Street-level locationGet directions
Mailing address
524 St Augustine Dr
Medford, OR 97504-2154
Registry dates
- Enumerated
- 2019-07-10
- Last updated
- 2019-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.