Healthcare Provider Details

I. General information

NPI: 1326942525
Provider Name (Legal Business Name): WEIJIA LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 SW SALMON ST FL 11
PORTLAND OR
97204-2908
US

IV. Provider business mailing address

10301 SE CRESCENT RIDGE LOOP
HAPPY VALLEY OR
97086-9172
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 909-996-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: