SISKIYOU PEDIATRIC CLINIC, LLP

GRANTS PASS, OR
NPI1700999521
Entity TypeOrganization
Authorized ContactCHARLES RAY CRISPEN
Owner/Physician
541-955-5683
Organization Subpart ?
Primary Taxonomy208000000X Pediatrics
(Licence: OR  DO14538)
Enumeration Date2006-08-16
Last Update Date2020-08-22
Business Address
SISKIYOU PEDIATRIC CLINIC, LLP
700 RAMSEY AVE STE 204
GRANTS PASS, OR 97527-5792
Phone number: 541-955-5683
Mailing Address
SISKIYOU PEDIATRIC CLINIC, LLP
700 RAMSEY AVE STE 204
GRANTS PASS, OR 97527-5792
Phone number: 541-955-5683
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