person
Angela M Liberatore, NP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1851308415

Angela M Liberatore is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Angela M Liberatore practices in Portland, OR and has the professional credentials of NP. The NPI Number for Angela M Liberatore is 1851308415 and holds a License No. 202111928NP-PP (Oregon).

The current practice location address for Angela M Liberatore is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-5856 and via fax at 503-494-2370.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1851308415
Provider Name
Angela M Liberatore
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-5856
Fax Number
503-494-2370
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02743204 05 NY
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-5856
Fax Number
503-494-2370
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-5856
Fax Number
503-494-2370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
202111928NP-PP (Oregon)
Definition
Definition to come...
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