NPI 1003105602
Julie Liddicoat, CHN
Practice location
- Address
- 426 SW Stark St 3rd Floor, Portland, OR 97204-2347
- Phone
- (503) 988-3417
- Fax
- (503) 988-3419
- Mailing address
- 421 SW Oak St STE. 210, Portland, OR 97204-1817
Registered specialties
Community Health Registered Nurse
Primary
Registry record
- NPI
- 1003105602
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Apr 2011
- Record last updated
- 4 Apr 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.