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JACK AUSTIN PHILLIPS
NPI 1407100902
Adult Companion in Portland, OR

Active since November 05, 2012
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 284-4249 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Austin Phillips NPPES

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

JACK AUSTIN PHILLIPS (NPI 1407100902) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1407100902
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameJACK AUSTIN PHILLIPS
Location Address5023 NE KILLINGSWORTH STPortland, OR 97218-1915
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 284-4249
Sole ProprietorNo
Enumeration DateNovember 5, 2012
✔ NPI 1407100902 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.
5023 NE KILLINGSWORTH 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.

KAREESHA CUMMINGS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
AMANDA MARIE STANDIFORD BS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
CHESSA PINK
Counselor (Mental Health)
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
KATHRYN BURROWS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
ZINNIA IMANI KEYES
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-1807
DANIELLE MORRIS
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
HILLARY KYLER
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
COURTNEY ARLINE FLORIO
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249

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 Jack Phillips's NPI number?

The NPI number for Jack Phillips is 1407100902. It was assigned to this individual provider in the NPPES registry on November 5, 2012.

Where is Jack Phillips located?

Jack Phillips practices at 5023 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 284-4249.

What is Jack Phillips'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 Jack Phillips was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.