JACOB KALIKIMAKA WILKS NPI 1164689147

NPI Information

Jacob Kalikimaka Wilks 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. Jacob Kalikimaka Wilks NPI is 1164689147. 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:

3909 SE 70TH AVE
PORTLAND, OR
ZIP 97206-525
Phone: (503) 777-2278

The enumeration date for this NPI number is 5/19/2008 and was last updated on 5/19/2008.

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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