Sugar Ray Black in Portland - Adult Companion

Sugar Ray Black - NPI 1144416629

Sugar Ray Black is a Adult Companion in Portland, Oregon. Sugar Ray Black practices all healthcare services and medical treatments related to Adult Companion. The NPI Number for Sugar Ray Black is 1144416629. The last update date is 2007-09-19.

Sugar Ray Black's current location address is 6011 N Greeley Ave Apt B, Portland, Oregon. You can contact this provider via phone number 5032380769. The mailing address for Sugar Ray Black is 6011 N Greeley Ave Apt B, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Sugar Ray Black
Address 6011 N Greeley Ave Apt B, Portland, Oregon
Phone Number 5032380769
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1144416629
Provider Enumeration Date 2007-09-19
Last Updated Date 2007-09-19

Provider Mailing Address Detail

Address 6011 N Greeley Ave Apt B
City Portland
State Oregon (OR)
Post Code 972175057
Phone Number 5032380769
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Companion
Taxonomy 372600000X
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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FAQs about Sugar Ray Black

What is the unique 10-digit identifier code issued to Sugar Ray Black by the Centers for Medicare & Medicaid Services?

The Sugar Ray Black has been assigned the NPI (National Provider Identifier) 1144416629 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Sugar Ray Black is geographically located?

The Sugar Ray Black is physically situated at the following location: 6011 N Greeley Ave Apt B, Portland, OR, 972175057.

What is Sugar Ray Black's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Sugar Ray Black is Adult Companion, and the taxonomy classification code that categorizes this area of expertise is 372600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1144416629 to Sugar Ray Black?

The Centers for Medicare & Medicaid Services assigned the 1144416629 to Sugar Ray Black on 2007-09-19.

As of what date were the details pertaining to Sugar Ray Black last refreshed?

The information related to the Sugar Ray Black, including its address, specialty, and other relevant details, was last updated on 2007-09-19.

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