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NPI Code Detail

MEDICARE: ADAPT

MEDICARE: ADAPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorOR
2101YM0800XMental Health CounselorOR
3324500000XSubstance Abuse Rehabilitation FacilityOR
43245S0500XChildren's Substance Abuse Rehabilitation FacilityOR
5261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2024030000OTHERORREGENCE - OUTPATIENT
3100394400OTHERORREGENCE - RESIDENTIAL

General Provider Information

NPI Number : 1750373346
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAPT
Provider Business Mailing Address
First Line : PO BOX 1121
Second Line :
City : ROSEBURG
State : OR
Zip : 97470-0254
Country : US
Telephone Number : 541-672-2691
Fax Number : 541-673-5642
Provider Business Practice Location Address
First Line : 548 SE JACKSON ST
Second Line :
City : ROSEBURG
State : OR
Zip : 97470-4983
Country : US
Telephone Number : 541-672-2691
Fax Number : 541-673-5642
Authorized Official
Title or Position : CEO
Name : BRUCE PIPER
Credential :
Telephone Number : 541-672-2691
Provider Enumeration Date : 08/18/2005
Last Update Date : 05/08/2019

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1023375359 — STEVEN COLLINS MA, LPC
Practice Location Address:
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Practice Fax: 541-440-3554
1104180090 — KATHLEEN J WAFER
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1144575390 — ALLAN RAY SPRINGER B.S.
Practice Location Address:
548 SE JACKSON ST
ROSEBURG, OR
97470-4983
Practice Phone: 541-672-2691
Practice Fax: 541-673-5642

Directions to “ADAPT ” Practice Location

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