Individual provider · Type 1 NPI

Justin Kimball

Adult Companion · Milwaukie, OR

NPI number 1275665572 Active

Practice location

12408 SE Fuller Rd
Milwaukie, OR 97222-1245

Call (503) 206-9631 Map

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 1275665572

Justin Kimball's National Provider Identifier is 1275665572, issued on Mar 12, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 8, 2007.