Provider Demographics
NPI:1245432640
Name:LIU, SHEAU CHRISTINE (DMD)
Entity Type:Individual
Prefix:
First Name:SHEAU CHRISTINE
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 SW 167TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-7960
Mailing Address - Country:US
Mailing Address - Phone:503-690-0577
Mailing Address - Fax:
Practice Address - Street 1:909 N TOMAHAWK ISLAND DR STE 105
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-8096
Practice Address - Country:US
Practice Address - Phone:503-289-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD7770122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist