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Organization
LIBERTY ESTATES LLC
Active
Organization
LIBERTY ESTATES LLC
Active
Other names
Assurance Lactation Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY ANNE ROBERTS RN, CLC (OWNER)
(503) 420-3223
Entity
Organization
Contact information
Practice address
4300 LIBERTY RD, DALLAS, OR 97338-9254
(503) 420-3223
Mailing address
4300 LIBERTY RD, DALLAS, OR 97338-9254
(503) 420-3223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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