JIMI M HENDERSON
NPI 1942507496
Adult Companion in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Adult Companion with taxonomy code 372600000X.

Active since February 18, 2011

5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 238-0769(503) 552-6208 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
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Individual
Male
Adult Companion

About JIMI HENDERSON

This page provides the complete NPI Profile along with additional information for Jimi Henderson, a provider established in Portland, Oregon with a medical specialization in Adult Companion. The healthcare provider is registered in the NPI registry with number 1942507496 assigned on February 2011. The practitioner's primary taxonomy code is 372600000X. The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI: 1942507496 Verify this NPI
Provider Name: JIMI M HENDERSON
Gender: Male
Entity Type: Individual
Location Address: 5023 NE KILLINGSWORTH ST PORTLAND, OR 97218
Location Phone: (503) 238-0769
Location Fax: (503) 552-6208
Mailing Address: PO BOX 8459 PORTLAND, OR 97207
Mailing Phone: (503) 238-0769
Mailing Fax: (503) 552-6208
Is Sole Proprietor?: Yes
Enumeration Date: 02-18-2011
Last Update Date: 02-18-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Adult Companion
Taxonomy Code: 372600000X
Type: Nursing Service Related Providers
Taxonomy Description: 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.