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Active NPI 1518397074 Individual Practitioner Male Practitioner

Jae Won Bae

Acupuncturist • Richland, WA

Professional Overview & Biography Verified Profile Summary

Jae Won Bae is a registered healthcare professional specializing in Acupuncturist in Richland, WA. Practice services are available at 134 KEENE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

134 Keene Rd

Richland, WA 993528683

Telephone 5096289966
Fax 5096289976
Associated Practice Facility / Clinic
🏢 Lifestyle Healthcare, Pllc Facility NPI 1568892180

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Richland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Richland, WA (1531 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

CMS Verified: 2022-01-26
Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License WA AC60830326

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.

Acupuncturist

NUCC Taxonomy Code: 171100000X

State License CA 15656

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Stata Powers , LMT

Massage Therapist

NPI 1063007730

Licensed Massage Therapist

Diane Berkey , LMP

Massage Therapist

NPI 1093060618

Licensed Massage Practitioner

NPI 1104975358

Doctor of Chiropractic

Jaden Hirschman , LMT

Massage Therapist

NPI 1124983580

Licensed Massage Therapist

Janel Menter , LMT

Massage Therapist

NPI 1346756640

Licensed Massage Therapist

Kimberly Overman , LMT

Massage Therapist

NPI 1407611718

Licensed Massage Therapist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address January 26, 2022

Registered at 134 KEENE RD, RICHLAND, WA 993528683 (Tel: 9494227008)

📍
Updated Practice Location December 03, 2021

Registered at 134 KEENE RD, RICHLAND, WA 993528683 (Tel: 5096289966)

📍
Updated Business Mailing Address December 03, 2021

Registered at 250 GAGE BLVD, APT S1127, RICHLAND, WA 993529683 (Tel: 9494227008)

NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 140 STANFORD AVE APT A, FULLERTON, CA 928314660 (Tel: 9494227008)

📍
Updated Business Mailing Address April 14, 2016

Registered at 140 STANFORD AVE APT A, FULLERTON, CA 928314660 (Tel: 9494227008)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as JAE WON BAE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Acupuncturist (License #15656 in CA)

🟢
Initial NPI Registration & Enumeration November 20, 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: 1518397074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2013
Last Update: January 26, 2022
Sole Proprietor: Yes

Mailing Address

134 Keene Rd

Richland, WA 993528683

Phone: 9494227008

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.