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Black Jones Healthcare, PC — NPI 1386492569, Grants Pass, OR | NPI Central

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NPI 1386492569

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Black Jones Healthcare, PC

NPI 1386492569 · Pediatrics Physician · Grants Pass, OR

Provider details

NPI number: 1386492569
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Judy Black, President(541) 659-3986

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000X
Allopathic & Osteopathic Physicians

Practice location

1873 Williams Hwy Ste 1b

Grants Pass, OR 97527-5843

Phone: (541) 234-8300

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

1873 Williams Hwy Ste 1b

Grants Pass, OR 97527-5843

Other names (DBA / former)

Doing business as: Good Shepherd Pediatrics

Registry dates

Enumerated: 2024-05-11
Last updated: 2024-05-11
Certified: 2024-05-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.