Individual
JOEL AMEZCUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
61396 S HIGHWAY 97 STE 205, BEND, OR 97702-2159
(541) 906-8050
Mailing address
61396 S HIGHWAY 97 STE 205, BEND, OR 97702-2159
(541) 390-6055
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01028
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500630047
—
OR
Enumeration date
02/22/2007
Last updated
02/06/2026
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