Siskiyou Pediatric Clinic, Llp
Pediatrics
Siskiyou Pediatric Clinic, Llp is a Grants Pass, Oregon based Pediatric center with medical specialization in
General Pediatrics.
It is located at
700 Ramsey Ave Ste 204, Grants Pass, Oregon - 97527-5792. They can be contacted on phone at
541-955-5683 and fax number 541-955-0983.
NPI number (Unique professional ID) for Siskiyou Pediatric Clinic, Llp is
1700999521 which was assigned by NPPES on 16 Aug, 2006 and it was last updated on 22 Aug, 2020.
Siskiyou Pediatric Clinic, Llp license number is
DO14538 for Pediatrics (208000000X) in Oregon.
Siskiyou Pediatric Clinic, Llp is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Siskiyou Pediatric Clinic, Llp basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Siskiyou Pediatric Clinic, Llp |
|---|
Business Address:
Siskiyou Pediatric Clinic, Llp address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 Ramsey Ave Ste 204
Grants Pass, OR, 97527-5792
United States |
|---|
| Phone Number : | 541-955-5683 |
|---|
| Fax Number : | 541-955-0983 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700999521 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 16 Aug, 2006 |
|---|
| Last Updated On : | 22 Aug, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Charlesray Crispen |
|---|
| Authorized Official Credential : | D.O. |
|---|
| Official Title or Position : | OWNER/PHYSICIAN |
|---|
| Phone Number : | 541-955-5683 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Siskiyou Pediatric Clinic, Llp are as mentioned. Primary taxonomy code for Siskiyou Pediatric Clinic, Llp is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | DO14538 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Siskiyou Pediatric Clinic, Llp such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1750365409 | Other | OR | CHARLES CRISPEN NPI |
| 1487638235 | Other | OR | KELLEY BURNETT, DO NPI |
| 1568446219 | Other | OR | STEVEN MARSHAK, DO NPI |
| 1639153380 | Other | OK | DEBORAH AYOLI, CPNP NPI |
| 299499 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 Ramsey Ave Ste 204
Grants Pass, OR, 97527-5792
United States |
|---|
| Phone Number : | 541-955-5683 |
|---|
| Fax Number : | 541-955-0983 |
|---|
Business Location:
Patients can refer following map for directions to
Siskiyou Pediatric Clinic, Llp practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.