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PERCIVAL LIEBAT

Adult Companion

NPI: 1336653492Individual

Specialties, Licenses & Credentials

Adult Companion

Code: 372600000X

Licensed Psychiatric Technician

Code: 167G00000X

Contact & Hours

Address
30 NE MARTIN LUTHER KING JR BLVD
PORTLAND, OR 97232

Quick Facts

NPI
1336653492
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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