# SISKIYOU PACIFIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL POINT PHYSICAL THERAPY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356473979
- **Authorized official:** ERNEST W EBERLING JR. PT (PRESIDENT/PROVIDER)
- **Authorized official phone:** (541) 664-5151

## Contact information

- **Practice address:** 512 MANZANITA ST, CENTRAL POINT, OR 97502-2352
- **Practice address phone:** (541) 664-5151
- **Practice address fax:** (541) 664-5155
- **Mailing address:** 1208 BEALL LN, CENTRAL POINT, OR 97502-1573
- **Mailing address phone:** (541) 664-5151
- **Mailing address fax:** (877) 772-9433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 04/04/2013