OrganizationActive
Siskiyou Community Health Center Pharmacy
NPI 1396141255 · Clinic Pharmacy · Cave Junction, OR
Provider details
- NPI number
- 1396141255
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Booth, Ceo(541) 471-3455
- License
- RP-0003008-CS (OR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone: (541) 592-4111
Fax: (541) 592-3916
Approximate (ZIP-level) locationGet directions
Mailing address
1701 Nw Hawthorne Ave
Grants Pass, OR 97526-1257
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2021-10-06
- Certified
- 2021-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.