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Jonathan Taylor Shields, QMHA
Adult Companion in Portland, Oregon
NPI 1477847077

Jonathan Taylor Shields is an Adult Companion based in Portland, OR. Jonathan Taylor Shields practices in Portland, OR and has the professional credentials of QMHA. The NPI Number for Jonathan Taylor Shields is 1477847077 and holds a License No. 101Y00000X (Oregon).

The current practice location address for Jonathan Taylor Shields is 847 Ne 19Th Ave, Portland, OR and can be reached out via phone at 971-282-5901.

Location: 847 Ne 19Th Ave, Portland, OR, 97213-3067
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Provider Profile Details
NPI Number
1477847077
Provider Name
Jonathan Taylor Shields
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave, Portland, OR, 97213-3067
Phone Number
971-282-5901
Fax Number
Provider Enumeration Date
06/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
971-282-5901
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave
City
State
Zip
97232-2684
Phone Number
971-282-5901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
101Y00000X (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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