Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Siskiyou Community Health Center Inc

Organization General Practice Dentistry · NPI 1205002136

Siskiyou Community Health Center Inc is a General Practice Dentistry in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 479-6393
Fax: (541) 479-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
General Practice Dentistry Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X · Licence H3448 (OR)

Record details

NPI number1205002136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Van Houten — Ceo · (541) 472-4777
Other names Siskiyou Community Health Center Dental Facility; Siskiyou Community Health Center Dental Facility
NPI enumeratedApril 30, 2008
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051

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