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Deactivated NPI 1902144959 Deactivated / Inactive NPI Male Practitioner

Robert Allan Boden , LAC

Acupuncturist • Roseburg, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Boden has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2013
NPI Deactivation Date June 30, 2020
Total Practice Duration ~7 Years of Practice (2013 – 2020)

Professional Overview & Biography Verified Profile Summary

Robert Boden, LAC was a registered Acupuncturist practicing in Roseburg, OR. Throughout an active medical career spanning 7 years, Robert Boden provided care at the practice location at 727 SE CASS AVE until profile deactivation on 2020-06-30.

Practice Location & Contact Primary Location

Practice Address

727 Se Cass Ave
Suite 418

Roseburg, OR 974704982

Telephone 5416550419
Associated Practice Facility / Clinic
🏢 Roseburg Acupuncture Llc Facility NPI 1356000426

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Roseburg, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Roseburg, OR (1579 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License OR AC00436

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 30, 2020

Record deactivated on June 30, 2020

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NPI Profile Active January 25, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2013

Registered at 727 SE CASS AVE, SUITE 418, ROSEBURG, OR 974704982 (Tel: 5416550419)

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Updated Business Mailing Address January 25, 2013

Registered at PO BOX 155, BROADBENT, OR 974140155

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Provider Name / Credentials Updated January 25, 2013

Recorded as ROBERT BODEN, LAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2013

Acupuncturist (License #AC00436 in OR)

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Initial NPI Registration & Enumeration January 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902144959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2013
Last Update: January 25, 2013
Deactivation Date: June 30, 2020
Update or Correct Profile

Mailing Address

Po Box 155

Broadbent, OR 974140155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.