Individual provider · Type 1 NPI

Ranny Petkovits

Adult Companion · Portland, OR

NPI number 1285832378 Active

Practice location

509 NE Alberta St
Portland, OR 97211-3976

Call (503) 249-7767 Map

Mailing address

617 NE Fargo St
Portland, OR 97212-2148

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 1285832378

Ranny Petkovits's National Provider Identifier is 1285832378, issued on Jul 10, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 10, 2007.