MS. CRISTAL AZUL OTERO NPI 1972938884

NPI Information

NPI: 1972938884
Provider Name: MS. CRISTAL AZUL OTERO
Classification: Adult Companion - 372600000X
Entity Type: Individual
Address:
5725 NE PRESCOTT ST
PORTLAND, OR
ZIP 97218
Phone: (503) 548-8085
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MS. Cristal Azul Otero 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. MS. Cristal Azul Otero NPI is 1972938884. 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:

5725 NE PRESCOTT ST
PORTLAND, OR
ZIP 97218-275
Phone: (503) 548-8085

The enumeration date for this NPI number is 9/10/2013 and was last updated on 8/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor			OREGON	No
2	372600000X	Adult Companion				Yes

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

NPI Synchronization or Removal

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