JESSE Y LIU
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1356845523- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3303 S BOND AVE, PORTLAND, OR, 972394501
- Phone
- (503) 418-3376
Specialties & Taxonomies
Dermatology
License: NJ #25MA11464700
Student in an Organized Health Care Education/Training Program
Dermatology
Primary License: OR #MD223656