Individual provider · Type 1 NPI

Lydia O. Michael, QMHA

Adult Companion · Portland, OR

NPI number 1457406514 Active

Practice location

310 NW Flanders St
Portland, OR 97209-3941

Fax (503) 827-0931

Mailing address

PO Box 644
Portland, OR 97207-0644

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 1457406514

Lydia O. Michael, QMHA's National Provider Identifier is 1457406514, issued on Jan 25, 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.