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NPI Code Detail

MEDICARE: LEAH LIEBER D.O.

MEDICARE: LEAH LIEBER D.O.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770223794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH LIEBER D.O.
Provider Business Mailing Address
First Line : 2500 NE NEFF RD. BEND, OR 97701
Second Line :
City : BEND
State : OR
Zip : 97701
Country : US
Telephone Number : 541-706-4800
Fax Number : 541-706-4806
Provider Business Practice Location Address
First Line : 2600 NE NEFF RD.
Second Line :
City : BEND
State : OR
Zip : 97701-6337
Country : US
Telephone Number : 541-706-4800
Fax Number : 541-706-4806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 02/13/2026

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