Individual
ELIZABETH ANN LEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 659-4988
(503) 353-1297
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
086000225N1 FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231448
—
OR
Enumeration date
01/17/2006
Last updated
07/13/2011
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