Liberty, Abigail

Liberty, Abigail is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Ohsu, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Liberty, Abigail can be contacted via phone (503) 494-8211.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Ohsu Portland OR 97239-3011
Phone: (503) 494-8211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD200154 Oregon
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1801337050
LBN Legal business name Liberty, Abigail
Credentials MD, MSPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2017
Last updated Jul 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801337050 NPPES
Oregon MEDICAID MD200154

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