Percival Alioth Liebat
Percival Alioth Liebat is an Adult Companion in Portland, Oregon. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
30 NE Martin Luther King Jr BlvdPortland, OR 97232-2941
Phone: (503) 232-1099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|---|
| Licensed Psychiatric Technician | Taxonomy 167G00000X |
Record details
| NPI number | 1336653492 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 28, 2017 |
| Last updated in NPPES | October 27, 2023 |
| Certification date | October 8, 2023 |
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Mr. Timothy Edward Lewis Jr., QMHA
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