Individual provider · Type 1 NPI

Jordan Marina Lilley

Adult Companion · Milwaukie, OR

NPI number 1861739682 Active

Practice location

5230 SE Roethe Rd
Milwaukie, OR 97267-5051

Call (503) 652-9092 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 1861739682

Jordan Marina Lilley's National Provider Identifier is 1861739682, issued on Jan 14, 2013. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Milwaukie, OR. The record was last updated on Jan 14, 2013.