Individual provider · Type 1 NPI

Joy Supreme Bartlett-Ocobock

Adult Companion · Portland, OR

NPI number 1396920583 Active

Practice location

9111 NE Sunderland Ave
Portland, OR 97211-1708

Mailing address

6415 NE Killingsworth St Unit G17
Portland, OR 97218-3072

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone 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 1396920583

Joy Supreme Bartlett-Ocobock's National Provider Identifier is 1396920583, issued on Jan 7, 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 18, 2011.