# LINDA STAUFF LIEBERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699803932
- **Gender:** F
- **Credential:** CNM, MSN, NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 088000249RN | OR | — |
| 363L00000X | Nurse Practitioner | 0088000249N5 NMNP-PP | OR | — |
| 363LW0102X | Women's Health Nurse Practitioner | 088000249N5 | OR | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 088000249N5 | OR | — |
| 367A00000X | Advanced Practice Midwife | 0088000249N5 NMNP-PP | OR | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 05/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009364000 | REGENCE BCBS OF OREGON | OR |
| 01 | — | 20377 | PACIFICSOURCE | OR |
| 05 | — | 276641 | — | OR |