Individual
DR. IAN LEONG LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2906
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003458
GA
207R00000X
Internal Medicine Physician
50469
CO
207R00000X
Internal Medicine Physician
Primary
MD168027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500676493
—
OR
05
—
78703271
—
CO
Enumeration date
07/18/2008
Last updated
04/24/2023
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