Christina Rae Clark, L.AC. MSOM, DIPL.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

205587 Issued in OR

Practice address

304 Gallatin Park Dr Unit 209
Bozeman, MT 59715-7945

Phone

(541) 961-7947

Fax

(406) 215-1830

NPI assigned

Jul 17, 2007

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Caldera Acupuncture LLC

  dba Caldera Acupuncture & Microneedling

  • Acupuncturist
  • Bend, OR
  • NPI 1538884481
  NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1922207125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 PARK VIEW PL",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158378",
            "telephone_number": "541-961-7947",
            "fax_number": "406-215-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 GALLATIN PARK DR UNIT 209",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157945",
            "telephone_number": "541-961-7947",
            "fax_number": "406-215-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTINA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "L.AC. MSOM, DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "99088",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "205587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE ACUPUNCTURE LICENSE",
            "identifier": "99088",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE ACUPUNCTURE LICENSE",
            "identifier": "205587",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "221",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demi Bianca Cissell, LCSW
• City of Bozeman
• Claire Forsman Counseling
• Clark Fork Healthcare, LLC (Big Sky Hospice)
• Clark Fork Healthcare, LLC (Big Sky Home Health)
• Erin Nicole Clark, MSW
• Jan Dean Clark, DMD
• Rosemary Clause, LMHC
• Sonja Ruth Clausen, PHARMD
• Edward Allen Claussen, PHARMD

• Acupuncturist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Acupuncturist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.