DR. STEPHEN FARRELL LIEBERMAN (NPI# 1841306925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841306925 |
Entity Type | Individual |
Full Name | DR. STEPHEN FARRELL LIEBERMAN |
Credential | M.D. |
Practice Address |
10100 Se Sunnyside Rd Mt Talbert Medical Office Clackamas OR 97015-8970 |
Mailing Address |
14430 Pfeifer Dr Lake Oswego OR 97035-2408 |
Practice Telephone | 5035713787 |
Practice Fax Number | 5035713772 |
Mailing Telephone | 5036353141 |
Mailing Fax Number | 5036351225 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | MD00034645 | WA | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | MD11245 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659658656 | Stephen Lieberman | Pharmacist | 17 N Union Ave, Cranford, NJ 07016-5101 | 2011-11-04 |
1144366386 | Stephen J Lieberman | Dentist | 15 New Britain Ave, Unionville, CT 06085-1277 | 2007-01-29 |
1013011592 | Stephen A Lieberman | Pediatrics | 759 Chestnut St, Springfield, MA 01107-1619 | 2006-09-12 |
Street Address |
10100 SE SUNNYSIDE RD MT TALBERT MEDICAL OFFICE |
City | CLACKAMAS |
State | OR |
Zip Code | 97015-8970 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942276969 | Jeanette L. Tanega | Physician Assistant | 10100 Se Sunnyside Rd, Mt. Talbert Medical Office, Clackamas, OR 97015-8970 | 2006-02-28 |
1154935252 | Hayley Hirt | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2020-09-04 |
1073017463 | Donna Delaine Eoff | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2018-03-20 |
1043752777 | Heather Carey | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-11-11 |
1891247797 | Christopher Curtis Caswell | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-10-26 |
1164973236 | Kaiser Foundation Health Plan of The Northwest | General Practice | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-10-24 |
1518416676 | Julie Khuu | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-09-29 |
1619425733 | Brett Caldwell | Pharmacist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-09-18 |
1700258530 | Christina Nichole Farrell | Nurse Practitioner | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2015-10-20 |
1851739320 | Angela Christine Dunscomb | Physical Therapist | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2013-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881791457 | Richard A Burt | Urology | Kaiser Permanente Sunnybrook Medical Office, 9900 Se Sunnyside Rd, Clackamas, OR 97015 | 2006-09-17 |
1578779492 | Aaron Patrick Bayne | Urology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2007-05-15 |
1851412431 | Matti Abo Totonchy | Urology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2007-04-02 |
1093831380 | Rou Wang | Urology | 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Urology, Clackamas, OR 97015-9777 | 2007-03-21 |
1124144415 | Jeffrey Cottle Wheat | Urology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2007-03-21 |
1659487692 | Jeffrey Eaton Johnson | Urology | 9900 Se Sunnyside Rd, Clackamas, OR 97015 | 2006-08-22 |
1568578029 | Paramjit Singh Chandhoke | Urology | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2006-08-21 |
1174636344 | Douglas Armstrong Ackerman | Urology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-08-15 |
1598778060 | Matthew Forsyth | Urology | 9900 Se Sunnyside Rd, Clackamas, OR 97015-9777 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
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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.