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1457907974
KRISTEN NICOLE LIEBIG
PORTLAND, OR
NPI
1457907974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA PA221765)
Enumeration Date
2019-08-12
Last Update Date
2024-11-25
Business Address
KRISTEN NICOLE LIEBIG PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
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Mailing Address
KRISTEN NICOLE LIEBIG PA-C
11782 SW BARNES RD STE 300
PORTLAND, OR 97225-5933
Phone number: 503-214-5200
Copy
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