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

Siskiyou Community Health Center Pharmacy

Organization Community/Retail Pharmacy · NPI 1881049658

Siskiyou Community Health Center Pharmacy is a Community/Retail Pharmacy in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 472-4777
Fax: (541) 471-3665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence RP-0002572-CS (OR)

Record details

NPI number1881049658
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSiskiyou Community Health Center Inc
Authorized official Eric Van Houten — Ceo · (541) 472-4777
NPI enumeratedApril 29, 2016
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051

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