Individual provider · Type 1 NPI

Michael James Mellick

Adult Companion · Portland, OR

NPI number 1558416693 Active

Practice location

412 SW 12th Ave
Portland, OR 97205-2329

Call (503) 228-7134 Map

Fax (503) 445-0749

Mailing address

232 NW 6th Ave
Portland, OR 97209-3609

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 1558416693

Michael James Mellick's National Provider Identifier is 1558416693, 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 Feb 4, 2009.