DENISE BROOM NPI 1609241371

NPI Information

Denise Broom 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. Denise Broom NPI is 1609241371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 NE STAFFORD ST
PORTLAND, OR
ZIP 97211-241
Phone: (503) 875-6472

The enumeration date for this NPI number is 12/7/2015 and was last updated on 12/7/2015.

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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