Individual provider · Type 1 NPI

Clarke D. Galusha, QMHA

Adult Companion · Portland, OR

NPI number 1912060237 Active

Practice location

509 NE Alberta St
Portland, OR 97211-3976

Call (503) 249-7767 Map

Mailing address

4105 SE Boise St
Portland, OR 97202-3129

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
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 1912060237

Clarke D. Galusha, QMHA's National Provider Identifier is 1912060237, issued on Dec 18, 2006. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.