Provider Demographics
NPI:1326112087
Name:AN, LIU
Entity Type:Individual
Prefix:DR
First Name:LIU
Middle Name:
Last Name:AN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AN
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:511 SW 10TH AVE STE 615
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-2707
Mailing Address - Country:US
Mailing Address - Phone:503-228-4309
Mailing Address - Fax:503-228-2820
Practice Address - Street 1:511 SW 10TH AVE
Practice Address - Street 2:STE 615
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205-2732
Practice Address - Country:US
Practice Address - Phone:503-228-4309
Practice Address - Fax:503-228-2820
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00571171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist