CANDELARIA OLVERA GOMEZ


Address: 5023 Ne Killingsworth St, Portland, OR 97218-1915
Phone: 5032844249

CANDELARIA OLVERA GOMEZ (NPI# 1083246557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083246557
Entity Type Individual
Full Name CANDELARIA OLVERA GOMEZ
Practice Address 5023 Ne Killingsworth St
Portland
OR 97218-1915
Mailing Address Po Box 8459
Portland
OR 97207-8459
Practice Telephone 5032844249
Mailing Telephone 5032380769
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 372600000X Adult Companion Nursing Service Related Providers

Office Location

Street Address 5023 NE KILLINGSWORTH ST
City PORTLAND
State OR
Zip Code 97218-1915

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841360161 Cascadia Behavioral Healthcare Inc Clinic/Center 5023 Ne Killingsworth St, Portland, OR 97218-1915 2006-11-08
1134733827 Virginia Vera Johnson Case Manager/Care Coordinator 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-09-01
1922611664 Julian Savery Szieff Case Manager/Care Coordinator 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-08-24
1356954069 Georgia Long Technician 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-08-24
1083222566 Courtney Arline Florio Case Manager/Care Coordinator 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-07-21
1942818430 Semiah Dominique Crawford Technician 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-07-21
1962027912 Thomas W Rounds Case Manager/Care Coordinator 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-06-15
1104440445 Anthony P Brasher Case Manager/Care Coordinator 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-06-02
1427670405 Jamie H Matthews Adult Companion 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-05-12
1730700154 Sabrina L Martin-hewitt Adult Companion 5023 Ne Killingsworth St, Portland, OR 97218-1915 2020-04-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852726 Alex Margarito Specialist/Technologist 6801 Necornfoot Rd, Fpo, AA 97218 2019-10-14
1083101943 Joyce M Larkins Specialist 5852 Ne 42nd Ave., Portland, OR 97218 2018-04-17
1740709658 Alyssa M Cavalier Licensed Practical Nurse 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 2017-09-12
1093266405 Jean Hansen Counselor 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 2016-10-20
1174913636 Kirsten Kelly-chambers Counselor 4310 Ne Killinsworth Street, Portland, OR 97218 2015-02-04
1386962074 Kathleen Kuhlmey Sheridan Nurse Practitioner 5215 Ne 52nd Ave, Portland, OR 97218 2010-05-06
1003049909 Kevin Richardson Adult Companion 5029 Ne Killingsworth St, Portland, OR 97218 2009-08-26
1366676462 Bobbi Gabriele Kennedy Military Health Care Provider 6801 Ne Cornfoot Road, Portland, OR 97218 2009-05-05
1396980751 Jamie Mercile Taylor Counselor 4310 N.e Kilingsworth, Portland, OR 97218 2008-12-12
1902041460 Brandi Danielle Hess Counselor 4450 Ne 76th, Portland, OR 97218 2008-12-11
Find all providers in zip 97218

Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184271462 Taylor Salter Adult Companion 7018 N Armour St, Portland, OR 97203-6132 2019-08-21
1235785429 Lonzall Tatum Adult Companion 1212 Sw Clay St Apt 409, Portland, OR 97201-7822 2019-08-13
1205303021 Imani Anderson Adult Companion 434 Ne Roselawn St, Portland, OR 97211-3826 2018-10-30
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1104364900 Rosanna Hunnicutt Adult Companion 2601 Se 160th Ave, Portland, OR 97236-2092 2017-02-01
1043755028 Raolat Ajibade IIi Adult Companion 847 N.e 19thave, Portland, OR 97232 2016-12-29
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1255789731 Sherri Schroeder Adult Companion 847 Ne 19th Ave., Suite100, Portland, OR 97232 2016-05-25
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1609241371 Denise Broom Adult Companion 25 Ne Stafford St, Portland, OR 97211-2241 2015-12-07
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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