Demetria Bullock is an Adult Companion based in Portland, OR. Demetria Bullock practices in Portland, OR. The NPI Number for Demetria Bullock is 1417493743 and holds a License No. (Oregon).
The current practice location address for Demetria Bullock is 847 Ne 19Th Ave, Portland, OR and can be reached out via phone at 503-238-0769.
Location: 847 Ne 19Th Ave, Portland, OR, 97207-8459
Provider Profile Details
NPI Number
1417493743
Provider Name
Demetria Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
847 Ne 19Th Ave, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
Provider Enumeration Date
01/10/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
(Oregon)
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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