Organization Active NPI

Bend Life Acupuncture & Integrative Medicine LLC

  • Acupuncturist
  • Bend, OR
National Provider Identifier
1356013452
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BEND LIFE ACUPUNCTURE & INTEGRATIVE MEDICINE LLC
Practice address
1291 NW Wall St
Bend, OR 97703-1936
Phone
(541) 728-3481
Fax
(971) 302-7048
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Megan Carmichael, LACNPI 1295052553
Title
Owner
Phone
(541) 728-3481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1291 NW Wall St
Bend, OR 97703-1936

Mailing address

PO Box 14100
Portland, OR 97293-0100
Phone (503) 384-2988

National Provider Directory

National Provider Directory

Locations

1291 NW Wall St
Bend, OR 97703
Phone (541) 728-3481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1356013452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972930100",
            "telephone_number": "503-384-2988",
            "fax_number": "971-302-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 NW WALL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031936",
            "telephone_number": "541-728-3481",
            "fax_number": "971-302-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND LIFE ACUPUNCTURE & INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "CARMICHAEL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-728-3481",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.