Healthcare Provider Details

I. General information

NPI: 1477250603
Provider Name (Legal Business Name): ADAPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 09/11/2025
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 NE BEACON DR
GRANTS PASS OR
97526-3815
US

IV. Provider business mailing address

PO BOX 1121
ROSEBURG OR
97470-0254
US

V. Phone/Fax

Practice location:
  • Phone: 541-474-1033
  • Fax: 541-474-0770
Mailing address:
  • Phone: 541-672-2691
  • Fax: 541-492-0190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH L PHILLIPS
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 541-492-0134