ERIK LEE LIEDERBAUER

PORTLAND, OR
NPI1467913848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD206422)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-27
Last Update Date2022-07-27
Business Address
ERIK LEE LIEDERBAUER MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
ERIK LEE LIEDERBAUER MD
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-8407