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Individual

LIZA M RODRIGUEZ JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9400 SW BEAVERTON HILLSDALE HWY STE 250, BEAVERTON, OR 97005-3300
(503) 994-6226
(855) 605-3491
Mailing address
9400 SW BEAVERTON HILLSDALE HWY STE 250, BEAVERTON, OR 97005-3300
(503) 994-6226
(855) 605-3491

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD208555
OR
208M00000X
Hospitalist Physician
M-11300
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011459180001
PA
05
1011459180002
PA
05
1011459180003
PA
01
1672808
HIGHMARK BLUE SHIELD
PA
01
2347693000
BLUECROSS BLUESHIELD
PA
Enumeration date
11/17/2005
Last updated
12/18/2025
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