Liberty Blank, N.d., LLC

NPI #1093594392 in Portland, Oregon

Provider Information

NPI Number: 1093594392
Entity Type: Organization
Organization Name: Liberty Blank, N.d., LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LIBERTY BLANK, N.D., LLC
Primary Specialty: Integrative Medicine
Enumeration Date: Sep 26, 2023
Last Updated: Oct 24, 2025

Practice Location

Address: 15160 NW LAIDLAW ROAD
Address 2: SUITE 245
City: Portland
State: Oregon
ZIP Code: 97229
Phone: (503) 944-1138

Authorized Official

Name: LIBERTY BLANK, N.D.
Title: OWNER
Phone: (503) 944-1138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Integrative Medicine	202D00000X	Primary

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