Dancing Aspen Healing Arts LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DANCING ASPEN HEALING ARTS LLC

Practice address

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

Phone

(503) 913-2136

Fax

(503) 825-0137

NPI assigned

Apr 10, 2023

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caitlynn Claire Didlick Bohman, DACM, MACOM, LACNPI 1871292912

Title

Business Owner / Acupuncturist

Phone

(503) 913-2136

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caitlynn Claire Didlick Bohman, LAC, DACM, MACOM

  • Acupuncturist
  • Gresham, OR
  • NPI 1871292912
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1902591357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NW WALLULA AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305410",
            "telephone_number": "503-913-2136"
        },
        {
            "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": {
        "organization_name": "DANCING ASPEN HEALING ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BOHMAN",
        "authorized_official_first_name": "CAITLYNN",
        "authorized_official_middle_name": "CLAIRE DIDLICK",
        "authorized_official_title_or_position": "BUSINESS OWNER / ACUPUNCTURIST",
        "authorized_official_telephone_number": "503-913-2136",
        "authorized_official_credential": "DACM, MACOM, LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Daggett
• Lydia Dahlen, PHARMD
• Kaitlyn R Daily, LMT
• Bret Hardin Dales, MD
• Yasmin Damian Damian
• Thao My Dang
• Sarah Dangaran
• Dani Care Inc
• Daniel & Max, LLC (Stanton Optical)
• Daniel J Ries, DMD, PC

• Acupuncturist in Gresham, OR
• Providers in Gresham, OR by specialty
• 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.