Individual
JESSE Y LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 418-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MA11464700
NJ
207N00000X
Dermatology Physician
Primary
MD223656
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
04/14/2025
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