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Mr. Theodore Jay Wolfington
Adult Companion in Portland, Oregon
NPI 1710025820

Theodore Jay Wolfington is an Adult Companion based in Portland, OR. Theodore Jay Wolfington practices in Portland, OR. The NPI Number for Theodore Jay Wolfington is 1710025820 and holds a License No. (Oregon).

The current practice location address for Theodore Jay Wolfington is 4822 Ne 12Th Ave, Portland, OR and can be reached out via phone at 503-287-0606.

Location: 4822 Ne 12Th Ave, Portland, OR, 97211-4620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710025820
Provider Name
Theodore Jay Wolfington
Credential
Provider Entity Type
Individual
Gender
Male
Address
4822 Ne 12Th Ave, Portland, OR, 97211-4620
Phone Number
503-287-0606
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4822 Ne 12Th Ave
City
Portland
State
Oregon
Zip
97211-4620
Phone Number
503-287-0606
Fax Number
person
Provider Business Mailing Address Details
Address
4822 Ne 12Th Ave
City
Portland
State
Oregon
Zip
97211-4620
Phone Number
503-287-0606
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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