Organization
ADAPT
Active
Parent organization
ADAPT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPT
Authorized official
MICHELLE MONET WATSON (CHIEF OPERATIONS OFFICER)
(541) 492-4550
Entity
Organization
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 492-4550
(541) 492-4553
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 492-4550
(541) 492-0190
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276245
—
OR
Enumeration date
10/09/2018
Last updated
04/12/2022
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