Provider Demographics
NPI:1225141054
Name:LIU, ZHERU (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ZHERU
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:Z
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:2474 MARYLVIEW CT
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-4013
Mailing Address - Country:US
Mailing Address - Phone:503-675-0933
Mailing Address - Fax:
Practice Address - Street 1:13705 NE AIRPORT WAY STE C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-1048
Practice Address - Country:US
Practice Address - Phone:503-258-6845
Practice Address - Fax:503-258-6864
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD22569207ZP0102X
WAMD00038737207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology