Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SISKIYOU COMMUNITY HEALTH CENTER PHARMACY
NPI 1396141255
Pharmacy - Clinic Pharmacy in Cave Junction, OR

Q: What is Siskiyou Community Health Center Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Active since November 05, 2014

25647 REDWOOD HWY, CAVE JUNCTION, OR 97523(541) 592-2010(541) 592-2011 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Jan 5, 2017 (2 updates tracked since 2017).

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About Siskiyou Community Health Center Pharmacy NPPES

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

SISKIYOU COMMUNITY HEALTH CENTER PHARMACY (NPI 1396141255) is a healthcare organization registered as a clinic pharmacy in Cave Junction, Oregon and active in the NPI registry since November 2014. The organization lists Eric Van Houten, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396141255

Entity TypeOrganization

Primary Taxonomy3336C0002X

Legal Business NameSISKIYOU COMMUNITY HEALTH CENTER PHARMACY

Location Address25647 REDWOOD HWYCave Junction, OR 97523-9332

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 472-4777 · Fax (541) 471-1439

Phone(541) 592-2010

Fax(541) 592-2011

Organization SubpartNo

Authorized OfficialEric Van HoutenCeo · (541) 472-4777

Enumeration DateNovember 5, 2014

Last NPPES UpdateJune 30, 20262 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1396141255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers

Taxonomy Code3336C0002X

License✔ Licensed in OR · RP-0003008-CS

Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

25647 REDWOOD HWY, Cave Junction, OR 97523

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Other Identifiers 1

Medicaid500679920OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 19

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

DR. PETER STEVEN TOMMERUP D.D.S.

Dentist