Ezra Vivec Nethrunil - Portland, OR

Ezra Vivec Nethrunil

Adult Companion in Portland, Oregon

NPI 1134766645

Ezra Vivec Nethrunil is an Adult Companion based in Portland, OR. Ezra Vivec Nethrunil practices in Portland, OR. The NPI Number for Ezra Vivec Nethrunil is 1134766645 and holds a License No. (Oregon).

The current practice location address for Ezra Vivec Nethrunil is 5725 Ne Prescott St, Portland, OR and can be reached out via phone at 503-402-8101.

Location: 5725 Ne Prescott St, Portland, OR, 97207-8459

NPI Number

1134766645

Provider Name

Ezra Vivec Nethrunil

Credential

Provider Entity Type

Individual

Gender

Male

Address

5725 Ne Prescott St, Portland, OR, 97207-8459

Phone Number

503-402-8101

Fax Number

Provider Enumeration Date

12/03/2019

Last Update Date

03/10/2024

Address

5725 Ne Prescott St

City

Portland

State

Oregon

Zip

97218-2275

Phone Number

503-402-8101

Fax Number

Address

5725 Ne Prescott St

City

Portland

State

Oregon

Zip

97218-2275

Phone Number

503-402-8101

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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