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Mrs. Lisa Denise Broadous
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NPI Number Detailed Information
Provider Information:
| Name: | Mrs. Lisa Denise Broadous |
| Gender: | F |
| Provider License Number If Given: |
NPI Information:
| NPI: | 1114140696 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 4/11/2007 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 6903 N ALBINA AVE Portland, OR 97217 |
| Phone Number: | 5034151892 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 2330 NE SISKIYOU ST Portland, OR 97212 |
| Phone Number: | 5035280757 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 372600000X |
| Secondary (if any): | |
| State: | OR |
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About Mrs. Lisa Denise Broadous
Mrs. Lisa Denise Broadous (MRS. LISA DENISE BROADOUS ) is An Adult Companion Physician in Portland, OR.
The NPI Number for Mrs. Lisa Denise Broadous is 1114140696.
The current location address for Mrs. Lisa Denise Broadous is 2330 NE SISKIYOU ST Portland, OR 97212 and the contact number is 5034151892 and fax number is .
The mailing address for Mrs. Lisa Denise Broadous is 6903 N ALBINA AVE Portland, OR 97217- 5035280757 (mailing address contact number - 5034151892).
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.
Provider Business Location on Map
FAQs:
What is the NPI Number for Mrs. Lisa Denise Broadous ?
Answer: The NPI Number for Mrs. Lisa Denise Broadous is 1114140696
Where is Mrs. Lisa Denise Broadous located?
Answer: Mrs. Lisa Denise Broadous is located at 2330 NE SISKIYOU ST Portland, OR 97212.
What is the specialty for Mrs. Lisa Denise Broadous ?
Answer: The Specialty of Mrs. Lisa Denise Broadous is An Adult Companion Physician.
Are there any online reviews for Mrs. Lisa Denise Broadous ?
Answer: Not yet!
Are there any other health care providers in Portland, OR?
Answer: Yes, there are given below...
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Mrs. Lisa Denise Broadous in Other Directories
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