Individual
DR. JIMMY MING-YUH LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9436
(503) 215-9900
Mailing address
1321 NE 99TH AVE, PORTLAND, OR 97220-9436
(503) 215-9900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043450
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8399164
—
WA
Enumeration date
04/03/2006
Last updated
08/08/2007
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