Individual provider · Type 1 NPI

Anthony Michael Blake

Adult Companion · Portland, OR

NPI number 1285001305 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Call (520) 704-3749 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 1285001305

Anthony Michael Blake's National Provider Identifier is 1285001305, issued on Aug 24, 2015. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2015.