Liss, David Jacob

Liss, David Jacob is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 135, Tualatin OR 97062-7452. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Liss, David Jacob can be contacted via phone (503) 692-8560.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 135 Tualatin OR 97062-7452
Phone: (503) 692-8560
Fax: (503) 692-8562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD156575 Oregon
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD156575 Oregon
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD156575 Oregon

Profile Details

NPI number 1447294244
LBN Legal business name Liss, David Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 19th, 2021 - about 4 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 1447294244 NPPES
Oregon MEDICAID 500664842

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