Individual provider · Type 1 NPI

Spenser David Canada

Adult Companion · Portland, OR

NPI number 1619266541 Active

Practice location

5725 NE Prescott St
Portland, OR 97218-2229

Call (503) 238-0769 Map

Fax (503) 552-6208

Mailing address

847 NE 19th Ave, Suite 100
Portland, OR 97232-2684

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 1619266541

Spenser David Canada's National Provider Identifier is 1619266541, issued on Mar 31, 2011. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Mar 31, 2011.