| Grants Pass Pediatrics | |
|
1601 Ne 6th St Grants Pass OR 97526-1035 | |
| (541) 476-3636 | |
| (541) 474-4628 |
| Full Name | Grants Pass Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1601 Ne 6th St, Grants Pass, Oregon |
| Authorized Official Name and Position | Lisa Michelle Callahan (OWNER) |
| Authorized Official Contact | 5414720021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grants Pass Pediatrics 1601 Ne 6th St Suite B Grants Pass OR 97526-1035 Ph: (541) 472-0021 | Grants Pass Pediatrics 1601 Ne 6th St Grants Pass OR 97526-1035 Ph: (541) 476-3636 |
| NPI Number | 1588739130 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588739130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 94000382N2 (Oregon) | Primary |
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