Individual provider · Type 1 NPI

Mary L. Nichols

Adult Companion · Gladstone, OR

NPI number 1881226355 Active

Practice location

1035 Portland Ave
Gladstone, OR 97027-2154

Call (503) 722-3877 Map

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 1881226355

Mary L. Nichols's National Provider Identifier is 1881226355, issued on Feb 12, 2020. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Gladstone, OR. The record was last updated on Feb 12, 2020.