Wendy K Ampah, BSW – Adult Companion in Portland, OR

Key facts

NPI: 1326430646
Entity type: Individual (NPI type 1)
Primary specialty: Adult Companion 372600000X
Practice address: 15602 SE Division St.
Portland, OR 97236
Phone: (503) 762-2530
Fax: (503) 760-7463
NPI assigned: Feb 24, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Coda, Inc. Substance Abuse Rehabilitation Facility · Portland, OR · NPI 1437213865

NPD (past)
Coda, Inc. Substance Use Disorder Rehabilitation Clinic/Center · Seaside, OR · NPI 1750912184

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Coda, Inc.		Past since Aug 13, 2019	Accepting new patients
Coda, Inc.		Past since Feb 9, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Companion	372600000X			Yes

Addresses

Primary practice location

15602 SE Division St.
Portland, OR 97236

Mailing address

1027 E. Burnside St.
Portland, OR 97214
Phone (503) 239-8400

Other providers in Portland, OR

All providers in Portland, OR · Adult Companion in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2015. 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.

Verify at the official NPI Registry.