Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE ROACH, LAC
Active Sole ProprietorCHARLIE ROACH, LAC is a Acupuncturist healthcare provider located in BEND, Oregon. NPI 1104465079 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · BEND, OR
Registration Details
- NPI Number
- 1104465079
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 24, 2019 (6.6106802508583 yrs)
- Last Updated
- Dec 24, 2019
- License
-
AC169915 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
550 SW INDUSTRIAL WAY STE 130BEND, OR, 977021011Browse OR providers · Browse ZIP 97702
- Phone
- 5412135829
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in BEND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES SIMON HAUSER | L.AC.; DIPLOMATE | 1205884186 |
| MISS ILEANA BOURLAND | MSOM LICAC | 1861596074 |
| MR. STEVEN ARON FOSTER-WEXLER | LAC | 1447350350 |
| MS. AMY AYLA WOLF | L.AC. | 1033296033 |
| KYM GARRETT | L.AC. | 1225191109 |
| JANELLE LOUISE BARTOW | LAC, MACOM | 1013073238 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.