Individual provider · Type 1 NPI

Kelly T. Funk

Adult Companion · Portland, OR

NPI number 1366749848 Active

Practice location

2330 NE Siskiyou St
Portland, OR 97212-2471

Call (503) 238-0769 Map

Fax (503) 552-6208

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 1366749848

Kelly T. Funk's National Provider Identifier is 1366749848, issued on Feb 18, 2011. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2011.