DR. ELIZABETH GRAY LIEBERMAN (NPI# 1578982567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578982567 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH GRAY LIEBERMAN |
| Credential | MD |
| Practice Address |
10000 Se Main St Ste 224 Portland OR 97216-2469 |
| Practice Telephone | 5032616961 |
| Practice Fax Number | 5032516286 |
| Mailing Telephone | 0352616961 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2019011466 | MO | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
MD188686 | OR | Allopathic & Osteopathic Physicians |
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
2019011466 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427379163 | Elizabeth Rose Lieberman | Behavioral Analyst | 130 Ravine Dr, Apt 16b, Matawan, NJ 07747-2872 | 2010-06-16 |
| Street Address |
10000 SE MAIN ST STE 224 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437174489 | Andrea J Young | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2006-07-12 |
| 1639688708 | Wesley Wenzel | Physician Assistant | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2017-09-21 |
| 1558797365 | Joseph Province | Physician Assistant | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2013-09-25 |
| 1003121849 | Cory Vernon Carlston | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2010-08-17 |
| 1558533273 | Adam Parks Baker | Orthopaedic Surgery | 10000 Se Main St Ste 224, Portland, OR 97216-2469 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235377 | Steven Frederick Hoff | Orthopaedic Surgery | 5050 Ne Hoyt, Suite 660, Portland, OR 97213-2990 | 2006-02-23 |
| 1851812689 | Sarah Brandt | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2017-07-01 |
| 1669851721 | Isaac Obeng | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 626, Portland, OR 97213-2956 | 2015-05-22 |
| 1023307899 | Thomas Derek Kowalik | Orthopaedic Surgery | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225-5914 | 2011-04-01 |
| 1619205440 | Portland Joint Reconstruction Clinic, P.C. | Orthopaedic Surgery | 5050 Ne Hoyt St, Suite 668, Portland, OR 97213-2991 | 2009-12-07 |
| 1457689028 | Arthritis & Joint Replacement Clinic, PC | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 660, Portland, OR 97213-2990 | 2009-11-19 |
| 1720252810 | Thomas William Huff | Orthopaedic Surgery | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-04-18 |
| 1235108929 | Adam Barmada | Orthopaedic Surgery | 501 N Graham St, Suite 200, Portland, OR 97227-1654 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495103 | James Robert Van Horne | Orthopaedic Surgery | 702 Ramsey Ave, Ste 112, Grants Pass, OR 97527-5572 | 2005-05-31 |
| 1407149487 | Daniel John Cowley | Orthopaedic Surgery | 537 Union Ave Fl 2, Grants Pass, OR 97527-5543 | 2011-05-24 |
| 1215227756 | Mark Eugene Mildren | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2011-04-18 |
| 1093931578 | Steven Nayan Shah | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2007-04-17 |
| 1194817569 | Seth Leopold Goldsmith | Orthopaedic Surgery | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-09-29 |
| 1538272869 | Mary C Skrzynski | Orthopaedic Surgery | 700 S J St, Lakeview, OR 97630-1623 | 2006-08-17 |
| 1134145360 | Willamette Orthopedic Group LLC | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2006-07-14 |
| 1194714303 | Stephen Louis Brenneke | Orthopaedic Surgery | 10121 Se Sunnyside Rd, Suite 130, Clackamas, OR 97015-5745 | 2005-10-19 |
| 1336146208 | Anthony C Hinz | Orthopaedic Surgery | 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4281 | 2005-07-07 |
| 1427053990 | Knute C Buehler | Orthopaedic Surgery | 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ELIZABETH GRAY LIEBERMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.