OrganizationActive
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NPI 1629393038 · Community/Behavioral Health Agency · Grants Pass, OR
Provider details
- NPI number
- 1629393038
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Socstc
- Organization subpart
- Yes
- Authorized official
- Rachel Raines, Human Resources(541) 482-5579
- License
- 174400000X (OR)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
322 Nw F St
Grants Pass, OR 97526-2052
Phone: (541) 479-2966
Street-level locationGet directions
Mailing address
1836 Fremont St
Ashland, OR 97520-2537
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2010-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.