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Stephen Anthony Walcott JR.
Adult Companion in Milwaukie, Oregon
NPI 1528315801

Stephen Anthony Walcott JR. is an Adult Companion based in Portland, OR. Stephen Anthony Walcott JR. practices in Milwaukie, OR. The NPI Number for Stephen Anthony Walcott JR. is 1528315801 and holds a License No. (Oregon).

The current practice location address for Stephen Anthony Walcott JR. is 5230 Se Roethe Rd, Milwaukie, OR and can be reached out via phone at 503-652-9092. You can also correspond with Stephen Anthony Walcott JR. through the mailing address at PO BOX 8459, PORTLAND, OR - 97207-8459 (mailing address contact number: 503-238-0769).

Location: 5230 Se Roethe Rd, Milwaukie, OR, 97207-8459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528315801
Provider Name
Stephen Anthony Walcott JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5230 Se Roethe Rd, Milwaukie, OR, 97207-8459
Phone Number
503-652-9092
Fax Number
Provider Enumeration Date
08/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5230 Se Roethe Rd
City
Milwaukie
State
Oregon
Zip
97267-5051
Phone Number
503-652-9092
Fax Number
person
Provider Business Mailing Address Details
Address
5230 Se Roethe Rd
City
Milwaukie
State
Oregon
Zip
97267-5051
Phone Number
503-652-9092
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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