NPI 1003371824

Jesse Xuan Liechty

Practitioner Student in an Organized Health Care Education/Training Program Corvallis, OR

Practice location

Address: 1601 SW Jefferson Ave, Corvallis, OR 97331-8656
Phone: (541) 737-3424
Mailing address: 51 Ojito Dr, Espanola, NM 87532-9429

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oregon →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence PI-0014494 (OR)

Registry record

NPI: 1003371824
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2019
Record last updated: 8 May 2025

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.