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MR. ANTHONY MICHAEL BLAKE
NPI 1285001305
Adult Companion in Portland, OR

Active since August 24, 2015
847 NE 19TH AVE, PORTLAND, OR 97232(520) 704-3749 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Anthony Michael Blake NPPES

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

MR. ANTHONY MICHAEL BLAKE (NPI 1285001305) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1285001305
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameMR. ANTHONY MICHAEL BLAKE
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(520) 704-3749
Sole ProprietorYes
Enumeration DateAugust 24, 2015
Last NPPES UpdateAugust 28, 2015
✔ NPI 1285001305 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.

847 NE 19TH AVE, Portland, OR 97232
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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.

DEANNA GOLD M.A.
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 891-9937
VALERIY IGUMNOV RN
Registered Nurse
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
HEAVEN WOODS
Community Health Worker
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 238-0769
MR. DEREK SUN
Adult Companion
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
NATALIE TAYLOR
Adult Companion
847 NE 19TH AVE, STE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
ANDREW VOGLER
Counselor (Mental Health)
847 NE 19TH AVE, SUITE 100
PORTLAND, OR 97232
Multnomah County (503) 238-0769
SHANA AXTHELM
Adult Companion
847 NE 19TH AVE
PORTLAND, OR 97232
Multnomah County (503) 760-9606
JOSEPH WARREN LASAC
Case Manager/Care Coordinator
847 NE 19TH AVE
PORTLAND, OR 97232
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 Anthony Blake's NPI number?

The NPI number for Anthony Blake is 1285001305. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Anthony Blake located?

Anthony Blake practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (520) 704-3749.

What is Anthony Blake'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 Anthony Blake was last updated on August 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.