Charles Edward Fleck, DSOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5402000295 Issued in MI

Practice address

39420 SE Gordon Creek Rd
Corbett, OR 97019-8750

Phone

(503) 695-2977

NPI assigned

Feb 3, 2022

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hai Shan Center Inc

  • Acupuncturist
  • Corbett, OR
  • NPI 1639367899
  NPD (past)
• Henry Ford Maplegrove Center

  dba Henry Ford Health System

  • Children's Substance Abuse Rehabilitation Facility
  • West Bloomfield, MI
  • NPI 1295767630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1093469561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39420 SE GORDON CREEK RD",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970198750",
            "telephone_number": "503-695-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39420 SE GORDON CREEK RD",
            "city": "CORBETT",
            "state": "OR",
            "postal_code": "970198750",
            "telephone_number": "503-695-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1961 S Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020246",
            "country_code": "US",
            "telephone_number": "248-319-6190",
            "fax_number": "248-607-6362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLECK",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "DSOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC208298",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MI",
            "license": "5402000295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles@thehealingorder.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "39420 SE Gordon Creek Rd",
            "city": "Corbett",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970198750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stuart Bennett
• Kiara Rose Boch, LAC. DSOM
• Laura Dawn Bovee, RDH
• County of Multnomah (Corbett School District 39)
• Anamaria Evangelou
• Hai Shan Center Inc
• Salena Harlow
• Jamie Hernandez, RN, CCM
• Eric Hertz, ASSOCIATE LPC
• Megan Mary Liebmann, FNLP

• Acupuncturist in Corbett, OR
• Providers in Corbett, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.