Individual provider · Type 1 NPI

Raolat Ajibade Iii

Adult Companion · Portland, OR

NPI number 1043755028 Active

Practice location

847 N.e 19THAVE
Portland, OR 97232

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone 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 1043755028

Raolat Ajibade Iii's National Provider Identifier is 1043755028, issued on Dec 29, 2016. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2016.