Individual provider · Type 1 NPI

Shawntae Jackson

Personal Care Attendant · Portland, OR

NPI number 1558071399 Active

Practice location

2270 NW Overton St
Portland, OR 97210-2927

Call (503) 241-6051 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1558071399

Shawntae Jackson's National Provider Identifier is 1558071399, issued on Dec 2, 2022. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Portland, OR. The record was last updated on Dec 2, 2022.