JUSTIN KIMBALL NPI 1275665572

NPI Information

Justin Kimball is an adult companion in Milwaukie, 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. Justin Kimball NPI is 1275665572. 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:

12408 SE FULLER RD
MILWAUKIE, OR
ZIP 97222-245
Phone: (503) 206-9631

The enumeration date for this NPI number is 3/12/2007 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:

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