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NPI Code Detail

MEDICARE: AARON MICHAEL LIERE

MEDICARE:   AARON MICHAEL LIERE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00665OR

General Provider Information

NPI Number : 1255352985
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON MICHAEL LIERE
Provider Business Mailing Address
First Line : PO BOX 647
Second Line :
City : GRESHAM
State : OR
Zip : 97030-0167
Country : US
Telephone Number : 503-666-5050
Fax Number : 503-666-7410
Provider Business Practice Location Address
First Line : 2850 SE POWELL VALLEY RD
Second Line :
City : GRESHAM
State : OR
Zip : 97080-1494
Country : US
Telephone Number : 503-666-5050
Fax Number : 503-666-7410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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Directions to “ AARON MICHAEL LIERE ” Practice Location

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