Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Siskiyou Pediatric Clinic, LLP

Pediatrics Physician in Grants Pass, OR · enumerated 2006 · authorized official Charles Crispen, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700999521

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Siskiyou Pediatric Clinic, LLP

Practice address 700 Ramsey Ave Ste 204, Grants Pass, OR, 97527

Phone (541) 955-5683

Fax (541) 955-0983

Enumeration date Aug 16, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License DO14538 (OR) Primary

Authorized official

Name Charles Crispen

Title Owner/Physician

Phone (541) 955-5683

Other identifiers

Identifier	Type	State	Issuer
1568446219	Other	OR	STEVEN MARSHAK, DO NPI
1639153380	Other	OK	DEBORAH AYOLI, CPNP NPI
1487638235	Other	OR	KELLEY BURNETT, DO NPI
299499	Medicaid	OR	-
1750365409	Other	OR	CHARLES CRISPEN NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Siskiyou Pediatric Clinic, LLP located?

The practice location on file with NPPES is in Grants Pass, OR.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.