Caitlynn Claire Didlick Bohman, LAC, DACM, MACOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC214597 Issued in OR

Practice address

22400 SE Stark St Ste 106
Gresham, OR 97030-2656

Phone

(503) 913-2136

Fax

(503) 825-0137

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Dancing Aspen Healing Arts LLC

  • Acupuncturist
  • Gresham, OR
  • NPI 1902591357
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1871292912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST STE 106",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-913-2136",
            "fax_number": "503-825-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 SE STARK ST STE 106",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302656",
            "telephone_number": "503-913-2136",
            "fax_number": "503-825-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "CAITLYNN",
        "middle_name": "CLAIRE DIDLICK",
        "credential": "LAC, DACM, MACOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC214597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Matthew Block, DPT
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• Jeremy Patrick Boal, LCSW
• Bodies in Balance Chiropractic LLC
• Bodywork Massage Inc.
• Melissa Anne Bohnstedt, MS, CCC-SLP
• David Michael Bohrer, DC
• Aqueelah F Bolden-McCoy, PSS
• Angelo Joseph Bologna, PT
• Charles Bong, O.D.

• All providers in Gresham, OR
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.