OrganizationActive
Crater Lake Acupuncture LLC
NPI 1114643814 · Acupuncturist · Medford, OR
Crater Lake Acupuncture LLC is a Acupuncturist organization in Medford, OR (NPI 1114643814).
Provider details
- NPI number
- 1114643814
- Entity type
- Organization
- Primary specialty
- AcupuncturistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Long, Owner(541) 531-2151
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
3132 State St Ste 210
Medford, OR 97504-8691
Phone: (541) 414-0503
Fax: (541) 414-0504
Street-level locationGet directions
Mailing address
524 St Augustine Dr
Medford, OR 97504-2154
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Crater Lake Acupuncture LLC's NPI number?
- Crater Lake Acupuncture LLC's National Provider Identifier (NPI) is 1114643814, 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 3132 State St Ste 210, Medford, OR 97504-8691.
- 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) 414-0503.
- 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. 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 (1114643814) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.