Individual
MOIRA B. LIEBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2701 NW VAUGHN ST, STE 140, PORTLAND, OR 97210-5311
(503) 499-5155
(503) 499-5213
Mailing address
2701 NW VAUGHN ST, STE 140, PORTLAND, OR 97210-5311
(503) 499-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2946
OR
225100000X
Physical Therapist
PT00006778
WA
Other
Enumeration date
10/26/2006
Last updated
07/19/2007
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