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JAYBIRD HALL MARMADUKE
NPI 1750724878
Adult Companion in Portland, OR

Active since April 08, 2013PECOS Enrolled
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 284-4249 Get Directions Write a Review

NPPES record last updated: April 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaybird Hall Marmaduke NPPES

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

JAYBIRD HALL MARMADUKE (NPI 1750724878) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750724878
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameJAYBIRD HALL MARMADUKE
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 DateApril 8, 2013
✔ NPI 1750724878 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaybird Hall Marmaduke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jaybird Marmaduke's NPI number?

The NPI number for Jaybird Marmaduke is 1750724878. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Jaybird Marmaduke located?

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

What is Jaybird Marmaduke's specialty?

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

Is Jaybird Marmaduke enrolled in Medicare?

Yes. Jaybird Marmaduke is registered in the Medicare PECOS enrollment system.

What insurance does Jaybird Marmaduke accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jaybird Marmaduke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaybird Marmaduke was last updated on April 8, 2013. 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.