person
Percival Alioth Liebat
Licensed Psychiatric Technician in Portland, Oregon
NPI 1336653492

Percival Alioth Liebat is a Licensed Psychiatric Technician based in Portland, OR. Percival Alioth Liebat practices in Portland, OR. The NPI Number for Percival Alioth Liebat is 1336653492 and holds a License No. (Oregon).

The current practice location address for Percival Alioth Liebat is 30 Ne Martin Luther King Jr Blvd, Portland, OR and can be reached out via phone at 503-232-1099.

Location: 30 Ne Martin Luther King Jr Blvd, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1336653492
Provider Name
Percival Alioth Liebat
Credential
Provider Entity Type
Individual
Gender
Male
Address
30 Ne Martin Luther King Jr Blvd, Portland, OR, 97207-8459
Phone Number
503-232-1099
Fax Number
Provider Enumeration Date
11/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30 Ne Martin Luther King Jr Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
Fax Number
person
Provider Business Mailing Address Details
Address
30 Ne Martin Luther King Jr Blvd
City
State
Zip
97232-2941
Phone Number
503-232-1099
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Psychiatric Technician
Speciality
-
Taxonomy
License No.
()
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
person
Provider's Taxonomy Details 2
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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