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JOHANNA CHRISTINE PROVENZANO
NPI 1760820914
Adult Companion in Portland, OR

Active since June 10, 2013
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 284-4249 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johanna Christine Provenzano NPPES

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

JOHANNA CHRISTINE PROVENZANO (NPI 1760820914) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1760820914
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameJOHANNA CHRISTINE PROVENZANO
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 DateJune 10, 2013
✔ NPI 1760820914 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 Johanna Provenzano's NPI number?

The NPI number for Johanna Provenzano is 1760820914. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Johanna Provenzano located?

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

What is Johanna Provenzano'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 Johanna Provenzano was last updated on June 10, 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.