Chad Lewis Menicosy
Chad Lewis Menicosy is an Adult Companion in Portland, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
13541 SE Market StPortland, OR 97233-1752
Phone: (503) 258-9734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Adult Companion | Taxonomy 372600000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1871126250 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 13, 2020 |
| Last updated in NPPES | April 6, 2021 |
| Certification date | April 6, 2021 |
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