Individual
JESSE JIA XIN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CR-137, PORTLAND, OR 97239-3011
(503) 494-4314
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD176339
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2009
Last updated
05/03/2016
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