OrganizationActive
Jefferson Behavioral Health
NPI 1750571345 · Exclusive Provider Organization · Grants Pass, OR
Provider details
- NPI number
- 1750571345
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Bob Nikkel, Executive Director(541) 955-9565
- License
- 119488 (OR)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
550 Ne E St
Grants Pass, OR 97526-2326
Phone: (541) 955-9565
Fax: (541) 955-8290
Street-level locationGet directions
Mailing address
550 Ne E St
Grants Pass, OR 97526-2326
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2010-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.