IndividualActive
Jack Phillips
NPI 1407100902 · Adult Companion · Portland, OR
Jack Phillips is a Adult Companion provider in Portland, OR (NPI 1407100902).
Provider details
- NPI number
- 1407100902
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5023 Ne Killingsworth St
Portland, OR 97218-1915
Phone: (503) 284-4249
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2012-11-05
- Last updated
- 2012-11-05
Frequently asked questions
- What is Jack Phillips's NPI number?
- Jack Phillips's National Provider Identifier (NPI) is 1407100902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Phillips's specialty?
- Jack Phillips is listed in the NPPES registry with a primary specialty of Adult Companion (Nursing Service Related Providers).
- Where is Jack Phillips located?
- Jack Phillips's practice location on file with NPPES is 5023 Ne Killingsworth St, Portland, OR 97218-1915.
- What is Jack Phillips's phone number?
- The practice phone number listed in the NPPES registry for Jack Phillips is (503) 284-4249.
- Is Jack Phillips's NPI active?
- Yes — Jack Phillips's NPI (1407100902) is active in the NPPES registry as of the last update on 2012-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.