Individual provider · Type 1 NPI

Lisa Denise Broadous

Adult Companion · Portland, OR

NPI number 1114140696 Active

Practice location

2330 NE Siskiyou St
Portland, OR 97212-2471

Call (503) 528-0757 Map

Mailing address

6903 N Albina Ave
Portland, OR 97217-1603

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 1114140696

Lisa Denise Broadous's National Provider Identifier is 1114140696, issued on Apr 11, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.