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David Brockway
Attendant Care Provider in Tualatin, Oregon
NPI 1154963692

David Brockway is an Attendant Care Provider based in Tualatin, OR and is specialized in Attendant Care Provider. David Brockway practices in Tualatin, OR. The NPI Number for David Brockway is 1154963692 and holds a License No. (Oregon).

The current practice location address for David Brockway is 17455 Sw 108Th Pl, Tualatin, OR and can be reached out via phone at 503-298-1935.

Location: 17455 Sw 108Th Pl, Tualatin, OR, 97062-8427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154963692
Provider Name
David Brockway
Credential
Provider Entity Type
Individual
Gender
Male
Address
17455 Sw 108Th Pl, Tualatin, OR, 97062-8427
Phone Number
503-298-1935
Fax Number
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DZ1386 05 OR
institution
Provider Business Practice Location Address Details
Address
17455 Sw 108Th Pl
City
Tualatin
State
Oregon
Zip
97062-8427
Phone Number
503-298-1935
Fax Number
person
Provider Business Mailing Address Details
Address
17455 Sw 108Th Pl
City
Tualatin
State
Oregon
Zip
97062-8427
Phone Number
503-298-1935
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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