# ADAPT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADAPT
- **Other names:** SRCHC @ Cascade Center, SouthRiver Community Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528585783
- **Legal business name:** ADAPT
- **Authorized official:** MICHELLE WATSON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (541) 492-4550

## Contact information

- **Practice address:** 221 NE MAIN ST, WINSTON, OR 97496-6562
- **Practice address phone:** (541) 492-4550
- **Practice address fax:** (541) 492-4553
- **Mailing address:** PO BOX 12, WINSTON, OR 97496-0012
- **Mailing address phone:** (541) 492-4550
- **Mailing address fax:** (541) 492-4553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2017
- **Last updated:** 06/16/2018
