Individual
ELIZABETH GRAY LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(503) 214-5200
(503) 906-6613
Mailing address
10000 SE MAIN ST STE 224, PORTLAND, OR 97216-2469
(035) 261-6961
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2019011466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD188686
OREGON MEDICAL LICENSE
OR
Enumeration date
04/07/2014
Last updated
07/13/2022
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