Healthcare Provider Details

I. General information

NPI: 1972439339
Provider Name (Legal Business Name): WINSLOW ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 NW LABICHE LN STE 110
BEND OR
97703-6720
US

IV. Provider business mailing address

2230 NW LABICHE LN STE 110
BEND OR
97703-6720
US

V. Phone/Fax

Practice location:
  • Phone: 207-542-5255
  • Fax:
Mailing address:
  • Phone: 207-542-5255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MACY JONES
Title or Position: ACUPUNCTURIST/OWNER
Credential: LAC
Phone: 207-542-5255