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Organization
GRANTS PASS CLINIC LLP
Active
Organization
GRANTS PASS CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTI SIEDLECKI (CEO)
(541) 472-5500
Entity
Organization
Contact information
Practice address
495 RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
(541) 472-5673
Mailing address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 472-5580
(541) 472-5673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
OR
Other
Enumeration date
06/25/2006
Last updated
01/13/2025
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