Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERCIVAL ALIOTH LIEBAT
ActiveAdult Companion · PORTLAND, OR
Registration Details
- NPI Number
- 1336653492
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 28, 2017 (8.3970401073264 yrs)
- Last Updated
- Oct 27, 2023
Practice Information
- Address
-
30 NE MARTIN LUTHER KING JR BLVDPORTLAND, OR, 972322941Browse OR providers · Browse ZIP 97232
- Phone
- 5032321099
- Primary Specialty
-
Adult Companion
372600000X
- Additional Specialty
- Licensed Genetic Counselor
Other Adult Companion Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MISS RENEE ERICA BOAK | QMHA | 1508899550 |
| BJ CASTLEMAN | MSW, QMHP | 1295743623 |
| CLARKE D. GALUSHA | QMHA | 1912060237 |
| SANDRA WILBORN | MS, BA | 1710041744 |
| CHRISTOPHER DANIEL JUDSON | — | 1316096316 |
| LAURA JANE YOUNG | — | 1376692442 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.