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Jacob Luke Colling, QMHA
Adult Companion in Portland, Oregon
NPI 1770139065

Jacob Luke Colling is an Adult Companion based in Portland, OR. Jacob Luke Colling practices in Portland, OR and has the professional credentials of QMHA. The NPI Number for Jacob Luke Colling is 1770139065 and holds a License No. (Oregon).

The current practice location address for Jacob Luke Colling is 847 Ne 19Th Ave Ste 100, Portland, OR and can be reached out via phone at 503-238-0769.

Location: 847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770139065
Provider Name
Jacob Luke Colling
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
847 Ne 19Th Ave Ste 100, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
Provider Enumeration Date
08/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
847 Ne 19Th Ave Ste 100
City
Portland
State
Oregon
Zip
97232-2684
Phone Number
503-238-0769
Fax Number
person
Provider Business Mailing Address Details
Address
847 Ne 19Th Ave Ste 100
City
Portland
State
Oregon
Zip
97232-2684
Phone Number
503-238-0769
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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