Organization
ADAPT
Active
Parent organization
ADAPT
Other names
SouthRiver Medical Clinic aka: SouthRiver Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPT
Authorized official
MICHELLE MONET WATSON (COO)
(541) 492-4550
Entity
Organization
Contact information
Practice address
671 SW MAIN, WINSTON, OR 97496-0012
(541) 492-4550
(541) 492-4553
Mailing address
PO BOX 12, WINSTON, OR 97496-0012
(541) 492-4550
(541) 492-4553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
276245
OR
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007151
—
OR
Enumeration date
12/19/2006
Last updated
10/14/2025
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