Organization · Type 2 NPI

Liberty Blank, N.d., LLC

Integrative Medicine Physician · Portland, OR

NPI number 1093594392 Active

Practice location

15160 NW Laidlaw Road, Suite 245
Portland, OR 97229

Mailing address

164 NW Macleay Blvd
Portland, OR 97210

Specialties and licenses

TaxonomyCodeLicense
Integrative Medicine Physician Primary 202D00000XNone listed

Integrative Medicine Physician: A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease - including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body's innate healing response. Appropriate consideration is given to use of less-invasive and less-harmfu…

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About NPI 1093594392

Liberty Blank, N.d., LLC's National Provider Identifier is 1093594392, issued on Sep 26, 2023. The primary taxonomy on file is Integrative Medicine Physician (202D00000X), and the practice location is in Portland, OR. The record was last updated on Oct 24, 2025.