| Adapt | |
|
548 Se Jackson St Roseburg OR 97470-4983 | |
| (541) 672-2691 | |
| (541) 673-5642 |
| Full Name | Adapt |
|---|---|
| Speciality | Clinic/center |
| Location | 548 Se Jackson St, Roseburg, Oregon |
| Authorized Official Name and Position | Bruce Piper (CEO) |
| Authorized Official Contact | 5416722691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adapt Po Box 1121 Roseburg OR 97470-0254 Ph: (541) 672-2691 | Adapt 548 Se Jackson St Roseburg OR 97470-4983 Ph: (541) 672-2691 |
| NPI Number | 1750373346 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 05/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750373346 | NPI | - | NPPES |
| 218156 | Medicaid | OR | |
| 024030000 | Other | OR | REGENCE - OUTPATIENT |
| 100394400 | Other | OR | REGENCE - RESIDENTIAL |
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