Individual provider · Type 1 NPI

Ezra Vivec Nethrunil

Adult Companion · Portland, OR

NPI number 1134766645 Active

Practice location

5725 NE Prescott St
Portland, OR 97218-2275

Call (503) 402-8101 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 1134766645

Ezra Vivec Nethrunil's National Provider Identifier is 1134766645, issued on Dec 3, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Dec 3, 2019.