Individual provider · Type 1 NPI

Christina Lashawn Kelly

Adult Companion · Portland, OR

NPI number 1790134005 Active

Practice location

847 NE 19th Ave
Portland, OR 97232

Call (503) 238-0769 Map

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

Taxonomy	Code	License
Adult Companion Primary	372600000X	None 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 1790134005

Christina Lashawn Kelly's National Provider Identifier is 1790134005, issued on Jun 7, 2016. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jun 7, 2016.