Irene Lieban PSY.D

NPI 1538321526 - Psychologist - 103TB0200X

NPI Details
NPI 1538321526
Gender Female
Enumeration Date 06/30/2008
Last Updated 06/30/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
2801 N GANTENBEIN AVE
PEDIATRIC DEVELOPMENT & REHAB
PORTLAND OR, 97227-1623, US
Phone (503) 413-4506
Fax (503) 413-4379
Business Location
PO BOX 4037
PORTLAND OR, 97208-4037, US
Phone (503) 413-4048
Fax (503) 413-4158
Toxanomy
Taxonomy Code 103TB0200X
License State Oregon
License Number 791
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According to our database, Irene Lieban PSY.D NPI is 1538321526, taxonomy code is 103TB0200X and license number is 791, license state is located at Oregon. Irene Lieban PSY.D physically located at 2801 N Gantenbein Ave, Portland OR, 97227-1623. NPI Number Irene Lieban PSY.D has the Individual type.

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1538321526 NPI number is provided on an as is basis without warranty of any kind. 1538321526 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Lieban PSY.D are for informational purposes only.