Siskiyou Vital Medicine LLC
NPI 1407442338 · Primary Care Clinic/Center · Medford, OR
Siskiyou Vital Medicine LLC is a Primary Care Clinic/Center organization in Medford, OR (NPI 1407442338).
Provider details
- NPI number
- 1407442338
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Duncan, Owner/Member(541) 210-5687
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2020-12-15
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Frequently asked questions
- What is Siskiyou Vital Medicine LLC's NPI number?
- Siskiyou Vital Medicine LLC's National Provider Identifier (NPI) is 1407442338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Siskiyou Vital Medicine LLC?
- Siskiyou Vital Medicine LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Siskiyou Vital Medicine LLC located?
- Siskiyou Vital Medicine LLC's practice location on file with NPPES is 940 Ellendale Dr # 102, Medford, OR 97504-8216.
- What is Siskiyou Vital Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Siskiyou Vital Medicine LLC is (541) 210-5687.
- Who is the authorized official for Siskiyou Vital Medicine LLC?
- The authorized official listed on Siskiyou Vital Medicine LLC's NPPES record is Gregory Duncan, Owner/Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Siskiyou Vital Medicine LLC's NPI active?
- Yes — Siskiyou Vital Medicine LLC's NPI (1407442338) is active in the NPPES registry as of the last update on 2020-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.