Individual provider · Type 1 NPI

Corey Dean Anderson

Adult Companion · Portland, OR

NPI number 1144598822 Active

Practice location

5120 SE 118th Ave
Portland, OR 97266-3250

Call (503) 762-3431 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Mental Health Counselor 101YM0800XNone 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 1144598822

Corey Dean Anderson's National Provider Identifier is 1144598822, issued on Dec 8, 2011. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2014.