Individual
JEFFREY STEPHEN LIEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9980 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 813-0378
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 813-0378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16716
OR
Other
Enumeration date
06/13/2006
Last updated
07/11/2007
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