Charlie Roach, LAC

NPI #1104465079 in Bend, Oregon

Provider Information

NPI Number: 1104465079
Entity Type: Individual
Name: Charlie Roach, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Dec 24, 2019
Last Updated: Dec 24, 2019

Practice Location

Address: 550 SW INDUSTRIAL WAY STE 130
City: Bend
State: Oregon
ZIP Code: 97702-1011
Phone: (541) 213-5829

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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