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Individual

DR. ANNIE LIAN-FOONG LIEM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
713 NE 4TH AVE, CAMAS, WA 98607-2111
(360) 833-4519
(360) 833-4521
Mailing address
713 NE 4TH AVE, CAMAS, WA 98607-2111
(360) 833-4519
(360) 833-4521

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00034203
WA
208000000X
Pediatrics Physician
MD20128
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084819
OMAP
OR
05
1109982
WA
Enumeration date
11/15/2005
Last updated
07/08/2007
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