Individual provider · Type 1 NPI

Kevin Richardson

Adult Companion · Portland, OR

NPI number 1003049909 Active

Practice location

5029 NE Killingsworth St
Portland, OR 97218

Call (503) 402-8117 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1003049909

Kevin Richardson's National Provider Identifier is 1003049909, issued on Aug 26, 2009. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2009.