STEPHEN ANTHONY WALCOTT NPI 1528315801

NPI Information

Stephen Anthony Walcott 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. Stephen Anthony Walcott NPI is 1528315801. 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:

5230 SE ROETHE RD
MILWAUKIE, OR
ZIP 97267-051
Phone: (503) 652-9092

The enumeration date for this NPI number is 8/6/2012 and was last updated on 8/6/2012.

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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