OrganizationActive
Adapt
NPI 1912061755 · Federally Qualified Health Center (FQHC) · Winston, OR
Provider details
- NPI number
- 1912061755
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Adapt
- Organization subpart
- Yes
- Authorized official
- Michelle Watson, Coo(541) 492-4550
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
671 Sw Main
Winston, OR 97496-0012
Phone: (541) 492-4550
Fax: (541) 492-4553
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 12
Winston, OR 97496-0012
Other names (DBA / former)
- Doing business as
- Southriver Medical Clinic Aka: Southriver Community Health Center
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2025-10-14
- Certified
- 2025-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.