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IMANI ANDERSON
NPI 1205303021
Adult Companion in Portland, OR

Active since October 30, 2018
434 NE ROSELAWN ST, PORTLAND, OR 97211(503) 919-5652 Get Directions Write a Review

NPPES record last updated: November 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2020, Oct 30, 2018 (2 updates tracked since 2018).

About Imani Anderson NPPES

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

IMANI ANDERSON (NPI 1205303021) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1205303021
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameIMANI ANDERSON
Location Address434 NE ROSELAWN STPortland, OR 97211-3826
Mailing Address17704 Ne Glisan StPortland, OR 97230-6504 · (503) 919-5652
Phone(503) 919-5652
Sole ProprietorYes
Enumeration DateOctober 30, 2018
Last NPPES UpdateNovember 7, 20202 updates tracked since enumeration
NPPES CertifiedNovember 7, 2020
✔ NPI 1205303021 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.

434 NE ROSELAWN ST, Portland, OR 97211
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Other Identifiers 2

Other0000Dont Have A Number
Medicaid0000OR

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 Imani Anderson's NPI number?

The NPI number for Imani Anderson is 1205303021. It was assigned to this individual provider in the NPPES registry on October 30, 2018.

Where is Imani Anderson located?

Imani Anderson practices at 434 NE Roselawn St, Portland, OR 97211. The listed phone number is (503) 919-5652.

What is Imani 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 Imani Anderson was last updated on November 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.