Organization
LIBERTY ESTATES LLC
Active
Other names
Assurance Lactation Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY ANNE ROBERTS RN, CLC (OWNER)
(503) 420-3223
Entity
Organization
Contact information
Practice address
4300 LIBERTY RD, DALLAS, OR 97338-9254
(503) 420-3223
Mailing address
4300 LIBERTY RD, DALLAS, OR 97338-9254
(503) 420-3223
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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