Organization
MARCIA A. LIBERATORE, MD PC
Active
Other names
Corvallis Integral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIA ANTOINETTE LIBERATORE MD (OWNER)
(541) 753-1172
Entity
Organization
Contact information
Practice address
917 NW GRANT AVE, CORVALLIS, OR 97330-4570
(541) 753-1172
(541) 752-9935
Mailing address
PMB 191, 922 NW CIRCLE BLVD, STE 160, CORVALLIS, OR 97330-1410
(541) 753-1172
(541) 752-9935
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD24224
OR
Other
Enumeration date
01/14/2008
Last updated
02/25/2011
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