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

Southern Oregon Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1114695962

Southern Oregon Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Grants Pass, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3348 Woodland Park Rd
Grants Pass, OR 97527-9162
Phone: (541) 203-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1114695962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachael Gordon — Medical Director/Founder · (808) 298-9102
NPI enumeratedSeptember 4, 2021
Last updated in NPPESSeptember 4, 2021
Certification dateSeptember 4, 2021
Mailing address3348 Woodland Park Rd, Grants Pass, OR 97527-9162

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