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EZRA VIVEC NETHRUNIL
NPI 1134766645
Adult Companion in Portland, OR

Active since December 03, 2019
5725 NE PRESCOTT ST, PORTLAND, OR 97218(503) 402-8101 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ezra Vivec Nethrunil NPPES

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

EZRA VIVEC NETHRUNIL (NPI 1134766645) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1134766645
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameEZRA VIVEC NETHRUNIL
Location Address5725 NE PRESCOTT STPortland, OR 97218-2275
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 402-8101
Sole ProprietorNo
Enumeration DateDecember 3, 2019
✔ NPI 1134766645 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.
5725 NE PRESCOTT ST, Portland, OR 97218
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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.

CELESTE LOUISE SCHWAB
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
CHRISTOPHER RYAN GAGE
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
KIARA SHAKIR TAYLOR
Case Manager/Care Coordinator
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GERALDINE KATHY VAN BUSKIRK
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GLORIA WILLIS
Social Worker
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
JESSICA ANTOINETTE NICHOLAS
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
ALVIN RUSSELL
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
RAMON WILLIAM NEWELL QMHA
Counselor (Mental Health)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 238-0769

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 Ezra Nethrunil's NPI number?

The NPI number for Ezra Nethrunil is 1134766645. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Ezra Nethrunil located?

Ezra Nethrunil practices at 5725 NE Prescott St, Portland, OR 97218. The listed phone number is (503) 402-8101.

What is Ezra Nethrunil'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 Ezra Nethrunil was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.