OrganizationActive
Crater Lake Acupuncture LLC
NPI 1114579109 · Acupuncturist · Medford, OR
Crater Lake Acupuncture LLC is a Acupuncturist organization in Medford, OR (NPI 1114579109).
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
7 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
Frequently asked questions
- What is Crater Lake Acupuncture LLC's NPI number?
- Crater Lake Acupuncture LLC's National Provider Identifier (NPI) is 1114579109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crater Lake Acupuncture LLC?
- Crater Lake Acupuncture LLC is classified in the NPPES registry as Acupuncturist (Other Service Providers).
- Where is Crater Lake Acupuncture LLC located?
- Crater Lake Acupuncture LLC's practice location on file with NPPES is 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655.
- What is Crater Lake Acupuncture LLC's phone number?
- The practice phone number listed in the NPPES registry for Crater Lake Acupuncture LLC is (541) 249-9200.
- Who is the authorized official for Crater Lake Acupuncture LLC?
- The authorized official listed on Crater Lake Acupuncture LLC's NPPES record is Jennifer Long, Owner of LLC. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crater Lake Acupuncture LLC's NPI active?
- Yes — Crater Lake Acupuncture LLC's NPI (1114579109) is active in the NPPES registry as of the last update on 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.