Individual provider · Type 1 NPI

Percival Alioth Liebat

Adult Companion · Portland, OR

NPI number 1336653492 Active

Practice location

30 NE Martin Luther King Jr Blvd
Portland, OR 97232-2941

Call (503) 232-1099 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Licensed Psychiatric Technician 167G00000XNone 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 1336653492

Percival Alioth Liebat's National Provider Identifier is 1336653492, issued on Nov 28, 2017. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Oct 27, 2023.