Nathan Jaylen Nickerson - Portland, OR

Nathan Jaylen Nickerson

Personal Care Attendant in Portland, Oregon

NPI 1104504869

Nathan Jaylen Nickerson is a Personal Care Attendant based in Portland, OR and is specialized in Personal Care Attendant. Nathan Jaylen Nickerson practices in Portland, OR. The NPI Number for Nathan Jaylen Nickerson is 1104504869 and holds a License No. (Oregon).

The current practice location address for Nathan Jaylen Nickerson is 7003 Se Woodstock Blvd, Portland, OR and can be reached out via phone at 503-477-4622.

Location: 7003 Se Woodstock Blvd, Portland, OR, 97207-8459

NPI Number

1104504869

Provider Name

Nathan Jaylen Nickerson

Credential

Provider Entity Type

Individual

Gender

Male

Address

7003 Se Woodstock Blvd, Portland, OR, 97207-8459

Phone Number

503-477-4622

Fax Number

Provider Enumeration Date

07/11/2023

Last Update Date

03/10/2024

Address

7003 Se Woodstock Blvd

City

Portland

State

Oregon

Zip

97206-5940

Phone Number

503-477-4622

Fax Number

Address

7003 Se Woodstock Blvd

City

Portland

State

Oregon

Zip

97206-5940

Phone Number

503-477-4622

Fax Number

Type

Nursing Service Related Providers

Classification

Technician

Speciality

Personal Care Attendant

Taxonomy

3747P1801X

License No.

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Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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