Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Siskiyou Community Health Center Inc

Organization General Practice Dentistry · NPI 1205002136

Siskiyou Community Health Center Inc provides General Practice Dentistry in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 NW Hawthorne Ave
Grants Pass, OR 97526-1051
Phone: (541) 479-6393
Fax: (541) 479-6489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
General Practice Dentistry Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X · Licence H3448 (OR)

Record details

NPI number1205002136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Van Houten — Ceo · (541) 472-4777
Other names Siskiyou Community Health Center Dental Facility; Siskiyou Community Health Center Dental Facility
NPI enumeratedApril 30, 2008
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1051

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