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Justin Kimball
Adult Companion in Milwaukie, Oregon
NPI 1275665572

Justin Kimball is an Adult Companion based in Milwaukie, OR. Justin Kimball practices in Milwaukie, OR. The NPI Number for Justin Kimball is 1275665572 and holds a License No. (Oregon).

The current practice location address for Justin Kimball is 12408 Se Fuller Rd, Milwaukie, OR and can be reached out via phone at 503-206-9631. You can also correspond with Justin Kimball through the mailing address at 12408 SE FULLER RD, MILWAUKIE, OR - 97222-1245 (mailing address contact number: 503-206-9631).

Location: 12408 Se Fuller Rd, Milwaukie, OR, 97222-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275665572
Provider Name
Justin Kimball
Credential
Provider Entity Type
Individual
Gender
Male
Address
12408 Se Fuller Rd, Milwaukie, OR, 97222-1245
Phone Number
503-206-9631
Fax Number
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12408 Se Fuller Rd
City
Milwaukie
State
Oregon
Zip
97222-1245
Phone Number
503-206-9631
Fax Number
person
Provider Business Mailing Address Details
Address
12408 Se Fuller Rd
City
Milwaukie
State
Oregon
Zip
97222-1245
Phone Number
503-206-9631
Fax Number
person
Provider's Taxonomy Details 1
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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