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

Siskiyou Pediatric Clinic, LLP

Organization Pediatrics Physician · NPI 1700999521

Siskiyou Pediatric Clinic, LLP is a Pediatrics Physician in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Ramsey Ave Ste 204
Grants Pass, OR 97527-5792
Phone: (541) 955-5683
Fax: (541) 955-0983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DO14538 (OR)

Record details

NPI number1700999521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Crispen — Owner/Physician · (541) 955-5683
NPI enumeratedAugust 16, 2006
Last updated in NPPESAugust 22, 2020
Mailing address700 Ramsey Ave Ste 204, Grants Pass, OR 97527-5792

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