# GRANTS PASS CLINIC LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760418032
- **Authorized official:** CHRISTI SIEDLECKI (CEO)
- **Authorized official phone:** (541) 472-5500

## Contact information

- **Practice address:** 495 RAMSEY AVE, GRANTS PASS, OR 97527-5681
- **Practice address phone:** (541) 476-6644
- **Practice address fax:** (541) 472-5673
- **Mailing address:** 495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
- **Mailing address phone:** (541) 472-5580
- **Mailing address fax:** (541) 472-5673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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