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

Holly C Liberatore, MD

Individual provider Family Medicine Physician · NPI 1811928625

Holly C Liberatore, MD is an Emergency Medicine in Longview, Washington. Graduated from St Louis College of Physicians and Surgeons in 2000, 26 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Washington.

Years since qualifying
26
Trained at
St Louis College of Physicians and Surgeons
Licensed in
MS, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2310
Phone: (360) 414-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Parkway Ln Ste B, Petal, MS 39465-3035 — (601) 705-2897

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00042244 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23705 (MS)

Record details

NPI number1811928625
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2000 (26 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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