Individual provider · Type 1 NPI

Samantha Danae Fugett

Adult Companion · Portland, OR

NPI number 1386812535 Active

Practice location

5023 NE Killingsworth St
Portland, OR 97218-1915

Mailing address

21005 SW Rosedale Rd
Aloha, OR 97007-8797

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 1386812535

Samantha Danae Fugett's National Provider Identifier is 1386812535, issued on Feb 11, 2008. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Feb 11, 2008.