Healthcare Provider Details

I. General information

NPI: 1316129414
Provider Name (Legal Business Name): HELEN K LIU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELEN LEONARD PHARM.D.

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 KINGSGATE RD
LAKE OSWEGO OR
97035-1346
US

IV. Provider business mailing address

76 KINGSGATE RD
LAKE OSWEGO OR
97035-1346
US

V. Phone/Fax

Practice location:
  • Phone: 970-712-9377
  • Fax:
Mailing address:
  • Phone: 970-712-9377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302029277
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18219
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH0013842
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: