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MR. MICHAEL JAMES MELLICK
NPI 1558416693
Adult Companion in Portland, OR

Active since January 25, 2007
412 SW 12TH AVE, PORTLAND, OR 97205(503) 228-7134(503) 445-0749 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael James Mellick NPPES

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

MR. MICHAEL JAMES MELLICK (NPI 1558416693) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1558416693
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameMR. MICHAEL JAMES MELLICK
Location Address412 SW 12TH AVEPortland, OR 97205-2329
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681 · Fax (503) 241-7419
Phone(503) 228-7134
Fax(503) 445-0749
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1558416693 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.
412 SW 12TH AVE, Portland, OR 97205
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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.

MR. GREGORY S BELL QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. JAMIE H GLEASON
Counselor (Mental Health)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. ELIZABETH SCHEELER KIMBERLY
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MR. RODERICK J ROBINSON QMHA
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
JAMES M. WRIGHT QMHA
Case Manager/Care Coordinator
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 516-2048
DONALD BENJAMIN KUNZER BA
Adult Companion
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
ANNALISA COUTURIER
Counselor (Addiction (Substance Use Disorder))
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 228-7134
MS. FRANNY RACHEL THOMPSON QMHP, MSW
Social Worker (Clinical)
412 SW 12TH AVE
PORTLAND, OR 97205
Multnomah County (503) 552-0769

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 Michael Mellick's NPI number?

The NPI number for Michael Mellick is 1558416693. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Michael Mellick located?

Michael Mellick practices at 412 SW 12th Ave, Portland, OR 97205. The listed phone number is (503) 228-7134.

What is Michael Mellick'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 Michael Mellick was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.