Lieberman, Elizabeth Gray

Lieberman, Elizabeth Gray is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Lieberman, Elizabeth Gray can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933
Fax: (503) 906-6613
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2019011466 Missouri

Profile Details

NPI number 1578982567
LBN Legal business name Lieberman, Elizabeth Gray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Jul 13th, 2022 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578982567 NPPES
Oregon Other MD188686 OREGON MEDICAL LICENSE

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