Individual provider · Type 1 NPI

Jessica Lieu

Medical Physician Assistant · Tigard, OR

NPI number 1730522392 Active

Practice location

11900 SW Greenburg Rd
Tigard, OR 97223-6453

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA161239 (OR)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1730522392

Jessica Lieu's National Provider Identifier is 1730522392, issued on Apr 14, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tigard, OR. The record was last updated on Apr 14, 2013.