Individual
JOE LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 SW MONROE AVE STE L101, CORVALLIS, OR 97333-7225
(541) 243-3889
Mailing address
408 SW MONROE AVE STE L101, CORVALLIS, OR 97333-7225
(541) 243-3889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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