Mrs. Lisa Denise Broadous - Portland, OR

Mrs. Lisa Denise Broadous

Adult Companion in Portland, Oregon

NPI 1114140696

Lisa Denise Broadous is an Adult Companion based in Portland, OR. Lisa Denise Broadous practices in Portland, OR. The NPI Number for Lisa Denise Broadous is 1114140696 and holds a License No. (Oregon).

The current practice location address for Lisa Denise Broadous is 2330 Ne Siskiyou St, Portland, OR and can be reached out via phone at 503-528-0757.

Location: 2330 Ne Siskiyou St, Portland, OR, 97217-1603

NPI Number

1114140696

Provider Name

Lisa Denise Broadous

Credential

Provider Entity Type

Individual

Gender

Female

Address

2330 Ne Siskiyou St, Portland, OR, 97217-1603

Phone Number

503-528-0757

Fax Number

Provider Enumeration Date

04/11/2007

Last Update Date

03/09/2024

Address

2330 Ne Siskiyou St

City

Portland

State

Oregon

Zip

97212-2471

Phone Number

503-528-0757

Fax Number

Address

2330 Ne Siskiyou St

City

Portland

State

Oregon

Zip

97212-2471

Phone Number

503-528-0757

Fax Number

Type

Nursing Service Related Providers

Classification

Adult Companion

Speciality

Taxonomy

372600000X

License No.

()

Definition

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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