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

Jesse Xuan Liechty

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003371824

Jesse Xuan Liechty is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1601 SW Jefferson Ave
Corvallis, OR 97331-8656
Phone: (541) 737-3424
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PI-0014494 (OR)

Record details

NPI number1003371824
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address51 Ojito Dr, Espanola, NM 87532-9429

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