Individual provider · Type 1 NPI

Bobby Bridges Jr.

Adult Companion · Portland, OR

NPI number 1821135914 Active

Practice location

412 SW 12th Ave
Portland, OR 97205-2329

Call (503) 228-7134 Map

Fax (503) 944-2595

Mailing address

422 N. Mississippi
Portland, OR 97217

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 1821135914

Bobby Bridges Jr.'s National Provider Identifier is 1821135914, issued on Jan 30, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.