Individual provider · Type 1 NPI

Alexandra Heacock

Adult Companion · Portland, OR

NPI number 1104724517 Active

Practice location

13317 SE Powell Blvd
Portland, OR 97236-3335

Call (503) 238-0769 Map

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 1104724517

Alexandra Heacock's National Provider Identifier is 1104724517, issued on Oct 27, 2026. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2026.