Organization
ENVISION WOMEN'S HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA STAUFF LIEBERMAN CNM, MSN, NP (OWNER)
(541) 753-6000
Entity
Organization
Contact information
Practice address
833 NW BUCHANAN AVE, SUITE 7, CORVALLIS, OR 97330-6217
(541) 753-6000
(541) 753-6001
Mailing address
3080 NW AUTUMN ST, CORVALLIS, OR 97330-3802
(541) 753-6000
(541) 753-6001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
088000249N5-PP
OR
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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