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SHANE DALTON WIGHT QMHA
NPI 1649829714
Adult Companion in Portland, OR

Active since September 10, 2019
847 NE 19TH AVE, PORTLAND, OR 97232(503) 238-0769 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shane Dalton Wight Qmha NPPES

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

SHANE DALTON WIGHT QMHA (NPI 1649829714) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1649829714
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameSHANE DALTON WIGHTCredential: QMHA
Location Address847 NE 19TH AVEPortland, OR 97232-2684
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 238-0769
Sole ProprietorNo
Enumeration DateSeptember 10, 2019
✔ NPI 1649829714 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 Names 1

Other Name (5)Violet Raine Alice Wight

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 Shane Wight's NPI number?

The NPI number for Shane Wight is 1649829714. It was assigned to this individual provider in the NPPES registry on September 10, 2019. The provider is also known as Violet Raine Alice Wight.

Where is Shane Wight located?

Shane Wight practices at 847 NE 19th Ave, Portland, OR 97232. The listed phone number is (503) 238-0769.

What is Shane Wight'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 Shane Wight was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.