Individual provider · Type 1 NPI

John Anthony Wheeler, BS, QMHA, CADC 1

Adult Companion · Portland, OR

NPI number 1700366390 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

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 1700366390

John Anthony Wheeler, BS, QMHA, CADC 1's National Provider Identifier is 1700366390, issued on Aug 14, 2018. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Aug 14, 2018.