SISKIYOU PEDIATRIC CLINIC, LLP
NPI 1700999521
Pediatrics in Grants Pass, OR

Q: What is Siskiyou Pediatric Clinic, LLP's NPI number?

The NPI number for Siskiyou Pediatric Clinic, LLP is 1700999521. It was assigned to this organization in the NPPES registry on August 16, 2006.

Q: What is Siskiyou Pediatric Clinic, LLP's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 16, 2006CLIA 38D1009029 · Waiver

700 RAMSEY AVE STE 204, GRANTS PASS, OR 97527(541) 955-5683(541) 955-0983 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Siskiyou Pediatric Clinic, Llp NPPES

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

SISKIYOU PEDIATRIC CLINIC, LLP (NPI 1700999521) is a healthcare organization registered as a pediatrics in Grants Pass, Oregon and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Charles Ray Crispen, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1700999521

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSISKIYOU PEDIATRIC CLINIC, LLP

Location Address700 RAMSEY AVE STE 204Grants Pass, OR 97527-5792

Mailing Address700 Ramsey Ave Ste 204Grants Pass, OR 97527-5792 · (541) 955-5683 · Fax (541) 955-0983

Phone(541) 955-5683

Fax(541) 955-0983

Organization SubpartNo

Authorized OfficialCharles Ray CrispenOwner/physician · (541) 955-5683

Enumeration DateAugust 16, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1700999521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · DO14538

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

700 RAMSEY AVE STE 204, Grants Pass, OR 97527

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Other Identifiers 5

Other1750365409OR · Charles Crispen Npi

Other1487638235OR · Kelley Burnett, Do Npi

Other1568446219OR · Steven Marshak, Do Npi

Other1639153380OK · Deborah Ayoli, Cpnp Npi

Medicaid299499OR

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., Providence Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1009029

Siskiyou Pediatric Clinic LLP · Grants Pass, OR

Active · expires Feb 3, 2027

CLIA Number38D1009029

Laboratory TypePhysician Office

Certificate Effective DateFebruary 4, 2025

Certificate Expiration DateFebruary 3, 2027

Laboratory DirectorSteven Marshak Do

Laboratory Phone(541) 955-5683

Laboratory LocationSiskiyou Pediatric Clinic LLP700 SW Ramsey Ave Suite 204, Grants Pass, OR 97527

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Siskiyou Pediatric Clinic, LLP's NPI number?

The NPI number for Siskiyou Pediatric Clinic, LLP is 1700999521. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Siskiyou Pediatric Clinic, LLP located?

Siskiyou Pediatric Clinic, LLP is located at 700 Ramsey Ave Ste 204, Grants Pass, OR 97527. The listed phone number is (541) 955-5683.

What is Siskiyou Pediatric Clinic, LLP's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Siskiyou Pediatric Clinic, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D1009029) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Siskiyou Pediatric Clinic, LLP accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Siskiyou Pediatric Clinic, LLP 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 Siskiyou Pediatric Clinic, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.