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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALEXANDRA HEACOCK
NPI 1104724517
Adult Companion in Portland, OR

Active since October 27, 2026
13317 SE POWELL BLVD, PORTLAND, OR 97236(503) 238-0769 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexandra Heacock NPPES

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

ALEXANDRA HEACOCK (NPI 1104724517) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1104724517
Entity TypeIndividual
Primary Taxonomy372600000X
Provider Legal NameALEXANDRA HEACOCK
Location Address13317 SE POWELL BLVDPortland, OR 97236-3335
Mailing Address13317 Se Powell BlvdPortland, OR 97236-3335 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 27, 2026
✔ NPI 1104724517 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.
13317 SE POWELL BLVD, Portland, OR 97236
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Other Names 1

Other Name (5)Alex Heacock

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.

AARON FRANKLIN CAIN
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 763-9606
MR. SEAN ROBERT BENVENUTI QMHA
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
JACK L GAGNON
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
RYAN EDWARD KRAUS
Technician (Personal Care Attendant)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (500) 760-9606
TANYA TRAHAN MSW
Counselor (Mental Health)
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
APRIL MICHELLE LEONARD QMHA
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606
TOBY JI KEAGY
Case Manager/Care Coordinator
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 763-9606
DIANA HOLM
Adult Companion
13317 SE POWELL BLVD
PORTLAND, OR 97236
Multnomah County (503) 760-9606

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 Alexandra Heacock's NPI number?

The NPI number for Alexandra Heacock is 1104724517. It was assigned to this individual provider in the NPPES registry on October 27, 2026. The provider is also known as Alex Heacock.

Where is Alexandra Heacock located?

Alexandra Heacock practices at 13317 SE Powell Blvd, Portland, OR 97236. The listed phone number is (503) 238-0769.

What is Alexandra Heacock'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 Alexandra Heacock was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.