Individual
TIMOTHY KING LIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, DIVISION OF VASCULAR SURGERY, OP-11, PORTLAND, OR 97239-3011
(503) 494-7593
Mailing address
3181 SW SAM JACKSON PARK ROAD, DIVISION OF VASCULAR SURGERY, OP-11, PORTLAND, OR 97239-3098
(503) 494-7593
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD22836
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287891
—
OR
Enumeration date
09/20/2006
Last updated
07/16/2007
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