Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liberty Blank, ND, LLC

Organization Integrative Medicine Physician · NPI 1093594392

Liberty Blank, ND, LLC is an Integrative Medicine Physician in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15160 NW Laidlaw Rd Ste 245
Portland, OR 97229
Phone: (503) 944-1138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Integrative Medicine Physician (primary) Taxonomy 202D00000X

Record details

NPI number1093594392
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLiberty Blank, ND, LLC
Authorized official Liberty Blank — Owner · (503) 944-1138
NPI enumeratedSeptember 26, 2023
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address164 Nw Macleay Blvd, Portland, OR 97210

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