Individual provider · Type 1 NPI

Kyle Vernard Wells

Adult Companion · Portland, OR

NPI number 1396884136 Active

Practice location

412 SW 12th Ave
Portland, OR 97205-2329

Call (503) 228-7134 Map

Fax (503) 944-2595

Mailing address

4508 SE Woodward St
Portland, OR 97206-2238

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 1396884136

Kyle Vernard Wells's National Provider Identifier is 1396884136, issued on Feb 6, 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 8, 2007.