Individual
LIANA ANN CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5050 NE HOYT ST STE 353, PORTLAND, OR 97213-2983
(503) 239-6800
(503) 239-0006
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
094000170N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135749
WA DEPT. OF L&I
WA
05
—
2034589
—
WA
05
—
226663
—
OR
01
—
500018664
RAILROAD
OR
Enumeration date
02/20/2006
Last updated
11/06/2024
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