Individual provider · Type 1 NPI

Kristen Nicole Liebig, PA-C

Physician Assistant · Portland, OR

NPI number 1457907974 Active

Practice location

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933

Call (503) 214-5200 Map

Fax (503) 906-6613

Mailing address

200 NE Mother Joseph Pl Ste 210
Vancouver, WA 98664-3295

Other practice locations

  • 2121 NE 139th St Ste 300, Vancouver, WA 98686-2316 · (360) 254-6161
  • 200 NE Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 · (360) 254-6161

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA221765 (PA)
Physician Assistant Primary 363A00000XPA.PA.70139020 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1457907974

Kristen Nicole Liebig, PA-C's National Provider Identifier is 1457907974, issued on Aug 12, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Aug 14, 2026.