Individual
LINDA STAUFF LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, MSN, NP
Contact information
Practice address
833 NW BUCHANAN AVE STE 7, CORVALLIS, OR 97330-6217
(541) 753-6000
(541) 753-6001
Mailing address
3080 NW AUTUMN ST, CORVALLIS, OR 97330-3802
(541) 753-6000
(541) 753-6001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
088000249RN
OR
363L00000X
Nurse Practitioner
0088000249N5 NMNP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
088000249N5
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
088000249N5
OR
367A00000X
Advanced Practice Midwife
Primary
0088000249N5 NMNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009364000
REGENCE BCBS OF OREGON
OR
01
—
20377
PACIFICSOURCE
OR
05
—
276641
—
OR
Enumeration date
02/28/2007
Last updated
05/15/2013
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