Organization · Type 2 NPI
Marcia A. Liberatore, MD PC
Health Service Clinic/Center · Corvallis, OR
NPI number
1629254271
Active
Practice location
917 NW Grant Ave
Corvallis, OR 97330-4570
Fax (541) 752-9935
Mailing address
Pmb 191, 922 NW Circle Blvd, Ste 160
Corvallis, OR 97330-1410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | MD24224 (OR) |
Health Service Clinic/Center: Definition to come...
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About NPI 1629254271
Marcia A. Liberatore, MD PC's National Provider Identifier is 1629254271, issued on Jan 14, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Corvallis, OR. The record was last updated on Feb 25, 2011.