Louis Samuels Libby
Pulmonary Disease
1111 Ne 99th Ave Suite 200
Portland
, Oregon 97220-9428
Louis Samuels Libby
Pulmonary Disease
1111 Ne 99th Ave Suite 200
Portland
, Oregon 97220-9428
(503) 963-2825
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Louis Samuels Libby
- 847 Ne 19th Ave Suite 300
- Portland, OR
- Zip : 97232-2684
- Fax : (503) 963-2825
- Phone : (503) 963-2801
Second Address
- Louis Samuels Libby
- 1111 Ne 99th Ave Suite 200
- Portland, OR
- Zip : 97220-9428
- Fax : (503) 963-3140
- Phone : (503) 963-3030
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Is Louis Samuels Libby a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | MD14297 | OR |
National Provider Identifier
| NPI | 1003808486 |
|---|---|
| Provider Name | Louis Samuels Libby |
| First Address | Portland, OR 97232-2684 |
| Second Address | Portland, OR 97220-9428 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 16/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003912 | (05) | WA |
| 124487 | (05) | OR |
| C91714 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.