Adapt
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Roseburg, OR
NPI 1508295668 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1508295668
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Legal business name
- ADAPT
- Practice address
- 1215 SE Court Ave
Roseburg, OR 97470-4329 - Phone
- (541) 672-1761
- Fax
- (541) 673-5642
- NPI assigned
- Nov 8, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ADAPT
Authorized official
- Name
- Bruce Piper
- Title
- Ceo
- Phone
- (541) 672-2691
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Adapt
- Part of
- Adapt
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | Yes |
Addresses
Primary practice location
1215 SE Court Ave
Roseburg, OR 97470-4329
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Phone (541) 672-1761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218156 | Medicaid | OR |
Other names
- CORRECTIONS
Other providers in Roseburg, OR
All providers in Roseburg, OR · Addiction (Substance Use Disorder) Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.