Individual provider · Type 1 NPI

Julie Liddicoat, CHN

Community Health Registered Nurse · Portland, OR

NPI number 1003105602 Active

Practice location

426 SW Stark St, 3rd Floor
Portland, OR 97204-2347

Call (503) 988-3417 Map

Fax (503) 988-3419

Mailing address

421 SW Oak St, Ste. 210
Portland, OR 97204-1817

Specialties and licenses

Taxonomy	Code	License
Community Health Registered Nurse Primary	163WC1500X	081001795RN (OR)

Community Health Registered Nurse: Definition to come...

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Arthur L. Downard, PMHNPPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1336237197
Aviel ForsterSocial Worker Portland, OR NPI 1255720181
Carol R. Richmond, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Portland, OR NPI 1912209982
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Cathy C. Spofford, LCSWClinical Social Worker Portland, OR NPI 1790837037

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About NPI 1003105602

Julie Liddicoat, CHN's National Provider Identifier is 1003105602, issued on Apr 4, 2011. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Portland, OR. The record was last updated on Apr 4, 2011.