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KAIROS NORTHWEST
NPI 1366865495
Community Based Residential Treatment Facility, Mental Illness in Grants Pass, OR

Active since January 24, 2014
210 TACOMA ST, GRANTS PASS, OR 97526(541) 467-3302 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kairos Northwest NPPES

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

KAIROS NORTHWEST (NPI 1366865495) is a healthcare organization registered as a community based residential treatment facility, mental illness in Grants Pass, Oregon and active in the NPI registry since January 2014. The organization lists Susan Boldt, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1366865495
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKAIROS NORTHWEST
Location Address210 TACOMA STGrants Pass, OR 97526-9370
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500 · (541) 956-4943
Phone(541) 467-3302
Organization SubpartNo
Authorized OfficialSusan BoldtOperations Director · (541) 474-5579
Enumeration DateJanuary 24, 2014
✔ NPI 1366865495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
210 TACOMA ST, Grants Pass, OR 97526
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSS JOHNSON
Counselor
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
BRANDY STROMME
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
MATTHEW JAMES TAYLOR
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
MS. DENISE WOODWORTH-THOMAS
Counselor
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
MR. ERIC L FLETCHER III
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
DAWN MACHELE SELLS
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
KAIROS
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302
MR. GALEN W PEDRICK
Counselor (Mental Health)
210 TACOMA ST
GRANTS PASS, OR 97526
Josephine County (541) 476-3302

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 Kairos Northwest's NPI number?

The NPI number for Kairos Northwest is 1366865495. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is Kairos Northwest located?

Kairos Northwest is located at 210 Tacoma St, Grants Pass, OR 97526. The listed phone number is (541) 467-3302.

What is Kairos Northwest's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Kairos Northwest was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.