Individual provider · Type 1 NPI

Joseph Duane Mulkey

Adult Companion · Portland, OR

NPI number 1205112158 Active

Practice location

2375 NW Glisan St
Portland, OR 97210-3420

Fax (503) 243-2429

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 1205112158

Joseph Duane Mulkey's National Provider Identifier is 1205112158, issued on Oct 24, 2011. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Oct 24, 2011.