Lisa Armento
Individual provider Active NPI Adult Companion · Portland, OR
NPI 1104150952 · NPPES record last updated Sep 28, 2009
Key facts
- NPI
- 1104150952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- Practice address
- 5029 NE Killingsworth St
Portland, OR 97218 - Phone
- (503) 402-8117
- NPI assigned
- Sep 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Yes |
Addresses
Primary practice location
5029 NE Killingsworth St
Portland, OR 97218
Mailing address
PO Box 8459
Portland, OR 97207-8459
Phone (503) 238-0769
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.