Imani Anderson is an Adult Companion based in Portland, OR. Imani Anderson practices in Portland, OR. The NPI Number for Imani Anderson is 1205303021 and holds a License No. (Oregon).
The current practice location address for Imani Anderson is 434 Ne Roselawn St, Portland, OR and can be reached out via phone at 503-919-5652.
Location: 434 Ne Roselawn St, Portland, OR, 97230-6504
Provider Profile Details
NPI Number
1205303021
Provider Name
Imani Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
434 Ne Roselawn St, Portland, OR, 97230-6504
Phone Number
503-919-5652
Fax Number
Provider Enumeration Date
10/30/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | 01 | DONT HAVE A NUMBER | |
| 0000 | 05 | OR |
Provider Business Practice Location Address Details
Address
434 Ne Roselawn St
City
State
Zip
97211-3826
Phone Number
503-919-5652
Fax Number
Provider Business Mailing Address Details
Address
434 Ne Roselawn St
City
State
Zip
97211-3826
Phone Number
503-919-5652
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
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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