Individual
DR. BRIAN SCOTT LIEBREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, STE 3E, PORTLAND, OR 97213-2933
(503) 215-7768
(503) 215-7460
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD16000
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002886
—
OR
Enumeration date
12/06/2005
Last updated
03/19/2021
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