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COREY DEAN ANDERSON
NPI 1144598822
Adult Companion in Portland, OR

Active since December 08, 2011
5120 SE 118TH AVE, PORTLAND, OR 97266(503) 762-3431 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Corey Dean Anderson NPPES

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

COREY DEAN ANDERSON (NPI 1144598822) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1144598822
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameCOREY DEAN ANDERSON
Location Address5120 SE 118TH AVEPortland, OR 97266-3250
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 762-3431
Sole ProprietorNo
Enumeration DateDecember 8, 2011
Last NPPES UpdateMarch 27, 2014
✔ NPI 1144598822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
5120 SE 118TH AVE, Portland, OR 97266
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Other Identifiers 1

Medicaid171M00000XOR

Other Providers at the Same Location NPPES 15

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

MS. TERRI-LYNN HEIDI MCDONALD QMHP
Counselor (Mental Health)
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3435
MR. ROBERT ARTHUR KRANE
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
MS. JENNIFER ASHLEY PHILLIPS III
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
JACOB WHITE
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 238-0769
TERESA BARKER MT
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3435
MICHELLE MARTIN
Adult Companion
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
KATRINA EERKES
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431
JEFFREY T HOLM
Case Manager/Care Coordinator
5120 SE 118TH AVE
PORTLAND, OR 97266
Multnomah County (503) 762-3431

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 Corey Anderson's NPI number?

The NPI number for Corey Anderson is 1144598822. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Corey Anderson located?

Corey Anderson practices at 5120 SE 118th Ave, Portland, OR 97266. The listed phone number is (503) 762-3431.

What is Corey Anderson'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 Corey Anderson was last updated on March 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.