Individual provider · Type 1 NPI

Nicole Valerie Stucky

Adult Companion · Portland, OR

NPI number 1659835189 Active

Practice location

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

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

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 1659835189

Nicole Valerie Stucky's National Provider Identifier is 1659835189, issued on Jan 29, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jan 29, 2019.