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SOUTHERN OREGON PSYCHIATRY, LLC
NPI 1114695962
Nurse Practitioner - Psychiatric/Mental Health in Grants Pass, OR

Active since September 04, 2021
3348 WOODLAND PARK RD, GRANTS PASS, OR 97527(541) 203-6352 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Oregon Psychiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OREGON PSYCHIATRY, LLC (NPI 1114695962) is a healthcare organization registered as a psychiatric/mental health in Grants Pass, Oregon and active in the NPI registry since September 2021. The organization lists Rachael Gordon, Medical Director/founder, as its authorized official.

NPPES Registry Identity

NPI1114695962
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHERN OREGON PSYCHIATRY, LLC
Location Address3348 WOODLAND PARK RDGrants Pass, OR 97527-9162
Mailing Address3348 Woodland Park RdGrants Pass, OR 97527-9162 · (808) 298-9102
Phone(541) 203-6352
Organization SubpartNo
Authorized OfficialRachael GordonMedical Director/founder · (808) 298-9102
Enumeration DateSeptember 4, 2021
NPPES CertifiedSeptember 4, 2021
✔ NPI 1114695962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3348 WOODLAND PARK RD, Grants Pass, OR 97527
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Oregon Psychiatry, LLC's NPI number?

The NPI number for Southern Oregon Psychiatry, LLC is 1114695962. It was assigned to this organization in the NPPES registry on September 4, 2021.

Where is Southern Oregon Psychiatry, LLC located?

Southern Oregon Psychiatry, LLC is located at 3348 Woodland Park Rd, Grants Pass, OR 97527. The listed phone number is (541) 203-6352.

What is Southern Oregon Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Southern Oregon Psychiatry, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Southern Oregon Psychiatry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Oregon Psychiatry, LLC was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.