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MR. JOE RICHARD PENSE QMHA CADC 1 NPI 1205973179


NPI Information

NPI: 1205973179
Provider Name: MR. JOE RICHARD PENSE, QMHA, CADC 1
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
5131 SW WINDSOR CT
PORTLAND, OR
ZIP 97221
Phone: (503) 544-6019
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MR. Joe Richard Pense, QMHA, CADC 1 is an adult companion in Portland, OR. The provider is 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. MR. Joe Richard Pense, QMHA, CADC 1 NPI is 1205973179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5131 SW WINDSOR CT
PORTLAND, OR
ZIP 97221
Phone: (503) 544-6019

The enumeration date for this NPI number is 1/31/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372600000XAdult CompanionYes
2101YM0800XCounselorMental HealthX
3101YA0400XCounselorAddiction (Substance Use Disorder)X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.