person
Jimi M Henderson
Adult Companion in Portland, Oregon
NPI 1942507496

Jimi M Henderson is an Adult Companion based in Portland, OR. Jimi M Henderson practices in Portland, OR. The NPI Number for Jimi M Henderson is 1942507496 and holds a License No. (Oregon).

The current practice location address for Jimi M Henderson is 5023 Ne Killingsworth St, Portland, OR and can be reached out via phone at 503-238-0769 and via fax at 503-552-6208.

Location: 5023 Ne Killingsworth St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1942507496
Provider Name
Jimi M Henderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
5023 Ne Killingsworth St, Portland, OR, 97207-8459
Phone Number
503-238-0769
Fax Number
503-552-6208
Provider Enumeration Date
02/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5023 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-238-0769
Fax Number
503-552-6208
person
Provider Business Mailing Address Details
Address
5023 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-238-0769
Fax Number
503-552-6208
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
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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