BENNETT GREY PETERSON NPI 1255069647

NPI Information

NPI: 1255069647
Provider Name: BENNETT GREY PETERSON
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
5023 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218
Phone: (503) 284-1794
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Bennett Grey Peterson is a personal care attendant technician in Portland, OR. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Bennett Grey Peterson NPI is 1255069647. 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:

5023 NE KILLINGSWORTH ST
PORTLAND, OR
ZIP 97218-915
Phone: (503) 284-1794

The enumeration date for this NPI number is 8/12/2022 and was last updated on 8/12/2022.

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	3747P1801X	Technician	Personal Care Attendant			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: 5/5/2024

NPI Synchronization or Removal

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