Individual provider · Type 1 NPI

Peggy Surfus

Adult Companion · Portland, OR

NPI number 1104248236 Active

Practice location

326 SE 76th Ave
Portland, OR 97215-1468

Call (503) 255-3198 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
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 1104248236

Peggy Surfus's National Provider Identifier is 1104248236, issued on Jan 8, 2014. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 28, 2014.