Clarke D. Galusha in Portland - Adult Companion
Clarke D. Galusha - NPI 1912060237
Clarke D. Galusha is a Adult Companion in Portland, Oregon. Clarke D. Galusha practices all healthcare services and medical treatments related to Adult Companion. The NPI Number for Clarke D. Galusha is 1912060237. The last update date is 2007-07-08.
Clarke D. Galusha's current location address is 4105 Se Boise St, Portland, Oregon. You can contact this provider via phone number 5034533893. The mailing address for Clarke D. Galusha is 4105 Se Boise St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarke D. Galusha |
|---|---|
| Address | 4105 Se Boise St, Portland, Oregon |
| Phone Number | 5034533893 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | QMHA |
NPI Number Detail
| NPI Number | 1912060237 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4105 Se Boise St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972023129 |
| Phone Number | 5034533893 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Companion |
|---|---|
| Taxonomy | 372600000X |
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Definition: 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 activi |
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What is the unique identification code assigned to Clarke D. Galusha by the Centers for Medicare & Medicaid Services?
The Clarke D. Galusha has been issued the NPI (National Provider Identifier) 1912060237. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Clarke D. Galusha is located?
The Clarke D. Galusha is situated at the following address: 4105 Se Boise St, Portland, OR, 972023129.
What is Clarke D. Galusha's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clarke D. Galusha's area of specialization is Adult Companion, and the corresponding taxonomy code that categorizes this field of practice is 372600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912060237 to Clarke D. Galusha?
The Centers for Medicare & Medicaid Services originally issued the 1912060237 to Clarke D. Galusha on 2006-12-18.
As of what date were the Clarke D. Galusha's details last updated?
The information pertaining to the Clarke D. Galusha, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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