Individual provider · Type 1 NPI

Isaac L. Larson, RC1

Adult Companion · Portland, OR

NPI number 1144368655 Active

Practice location

5023 NE Killingsworth St
Portland, OR 97218-1915

Call (503) 402-8117 Map

Fax (503) 284-6585

Mailing address

605 SW Bonita Rd, APT# K108
Lake Oswego, OR 97035

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone 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 1144368655

Isaac L. Larson, RC1's National Provider Identifier is 1144368655, issued on Feb 5, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.