Corliss, Liana Ann
Corliss, Liana Ann is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 353 , Portland OR 97213-2983. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corliss, Liana Ann can be contacted via phone (503) 239-6800.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 353
Portland OR 97213-2983
Phone: (503) 239-6800
Fax: (503) 239-0006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 094000170N1 | Oregon |
Profile Details
| NPI number | 1952376451 |
|---|---|
| LBN Legal business name | Corliss, Liana Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Dec 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952376451 | NPPES |
| Oregon | MEDICAID | 226663 | |
| Oregon | Other | 135749 | |
| Oregon | MEDICAID | 2034589 | |
| Oregon | Other | 500018664 |
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