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SERENA SHAW
NPI 1063654077
Adult Companion in Portland, OR

Active since April 06, 2009
509 NE ALBERTA ST, PORTLAND, OR 97211(503) 249-7767 Get Directions Write a Review

NPPES record last updated: April 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serena Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENA SHAW (NPI 1063654077) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1063654077
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameSERENA SHAW
Location Address509 NE ALBERTA STPortland, OR 97211-3976
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 249-7767
Sole ProprietorYes
Enumeration DateApril 6, 2009
✔ NPI 1063654077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
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 activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
509 NE ALBERTA ST, Portland, OR 97211
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRETT MATTHEW WARNER
Technician (Personal Care Attendant)
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767
MICHAEL PHELPS
Case Manager/Care Coordinator
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 238-0769
SHELBY RAE ERICKSON
Technician (Personal Care Attendant)
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767
CYNTHIA ANN JESSIE
Technician (Personal Care Attendant)
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767
LANCE THOMAS
Adult Companion
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767
MISS LATOYA WYNETTE HALLIMAN QMHA
Counselor (Mental Health)
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767
CASCADIA HEALTH
Clinic/Center (Multi-Specialty)
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-9460
CAROL L NIEMAN
Adult Companion
509 NE ALBERTA ST
PORTLAND, OR 97211
Multnomah County (503) 249-7767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serena Shaw's NPI number?

The NPI number for Serena Shaw is 1063654077. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Serena Shaw located?

Serena Shaw practices at 509 NE Alberta St, Portland, OR 97211. The listed phone number is (503) 249-7767.

What is Serena Shaw's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Serena Shaw was last updated on April 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.