Individual provider · Type 1 NPI

Kevyn Achilike Orikannu Simon

Adult Companion · Portland, OR

NPI number 1306221718 Active

Practice location

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

Call (503) 238-0769 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 1306221718

Kevyn Achilike Orikannu Simon's National Provider Identifier is 1306221718, issued on Jul 27, 2015. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 27, 2015.