Individual provider · Type 1 NPI

Benjamin John Zimmerman, B.A.

Adult Companion · Portland, OR

NPI number 1689952632 Active

Practice location

13317 SE Powell Blvd
Portland, OR 97236-3335

Call (503) 760-9606 Map

Fax (503) 760-9609

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 1689952632

Benjamin John Zimmerman, B.A.'s National Provider Identifier is 1689952632, issued on Jul 25, 2011. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 25, 2011.