KERNAN WILLIS NPI 1619161510

NPI Information

Kernan Willis 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. Kernan Willis NPI is 1619161510. 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:

2545 E BURNSIDE ST
APT 106
PORTLAND, OR
ZIP 97214-761
Phone: (503) 238-0769

The enumeration date for this NPI number is 9/4/2007 and was last updated on 9/4/2007.

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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