KERNAN WILLIS
NPI 1619161510
Adult Companion in Portland, OR

Q: What is Kernan Willis's NPI number?

The NPI number for Kernan Willis is 1619161510. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Q: What is Kernan Willis's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Q: When was this NPI record last updated?

The NPPES record for Kernan Willis was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 04, 2007

2545 E BURNSIDE ST, APT 106, PORTLAND, OR 97214(503) 238-0769 Get Directions Write a Review

NPPES record last updated: September 4, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kernan Willis NPPES

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

KERNAN WILLIS (NPI 1619161510) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1619161510

Entity TypeIndividualFemale

Primary Taxonomy372600000X

Provider Legal NameKERNAN WILLIS

Location Address2545 E BURNSIDE ST, APT 106Portland, OR 97214-1761

Mailing Address2545 E Burnside St, Apt 106Portland, OR 97214-1761

Phone(503) 238-0769

Sole ProprietorYes

Enumeration DateSeptember 4, 2007

✔ NPI 1619161510 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.

2545 E BURNSIDE ST, Portland, OR 97214

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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 Kernan Willis's NPI number?

The NPI number for Kernan Willis is 1619161510. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Kernan Willis located?

Kernan Willis practices at 2545 E Burnside St Apt 106, Portland, OR 97214. The listed phone number is (503) 238-0769.

What is Kernan Willis'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 Kernan Willis was last updated on September 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.