Individual
SARAH LYNN LIEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PV-01, PORTLAND, OR 97239-3011
(503) 494-5355
Mailing address
3181 SW SAM JACKSON PARK RD, PV-01, PORTLAND, OR 97239-3011
(503) 494-5355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01023
OR
Other
Enumeration date
08/08/2006
Last updated
11/20/2012
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