Sugar Ray Black - Portland, OR

Sugar Ray Black

Adult Companion in Portland, Oregon

NPI 1144416629

Sugar Ray Black is an Adult Companion based in Portland, OR. Sugar Ray Black practices in Portland, OR. The NPI Number for Sugar Ray Black is 1144416629 and holds a License No. (Oregon).

The current practice location address for Sugar Ray Black is 6011 N Greeley Ave Apt B, Portland, OR and can be reached out via phone at 503-238-0769.

Location: 6011 N Greeley Ave Apt B, Portland, OR, 97217-5057

NPI Number

1144416629

Provider Name

Sugar Ray Black

Credential

Provider Entity Type

Individual

Gender

Male

Address

6011 N Greeley Ave Apt B, Portland, OR, 97217-5057

Phone Number

503-238-0769

Fax Number

Provider Enumeration Date

09/19/2007

Last Update Date

03/09/2024

Address

6011 N Greeley Ave Apt B

City

Portland

State

Oregon

Zip

97217-5057

Phone Number

503-238-0769

Fax Number

Address

6011 N Greeley Ave Apt B

City

Portland

State

Oregon

Zip

97217-5057

Phone Number

503-238-0769

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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