Sarah Lynn Liebler PA-C

NPI 1750391405 - Physician Assistant - 363A00000X

NPI Details
NPI 1750391405
Gender Female
Enumeration Date 08/08/2006
Last Updated 11/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PV-01
PORTLAND OR, 97239-3011, US
Phone (503) 494-5355
Fax
Business Location
3181 SW SAM JACKSON PARK RD
PV-01
PORTLAND OR, 97239-3011, US
Phone (503) 494-5355
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oregon
License Number PA01023
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According to our database, Sarah Lynn Liebler PA-C NPI is 1750391405, taxonomy code is 363A00000X and license number is PA01023, license state is located at Oregon. Sarah Lynn Liebler PA-C physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Sarah Lynn Liebler PA-C has the Individual type.

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1750391405 NPI number is provided on an as is basis without warranty of any kind. 1750391405 is maintained by the National Plan & Provider Enumeration System. The contents of Sarah Lynn Liebler PA-C are for informational purposes only.