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

Percival Alioth Liebat

Individual provider Adult Companion · NPI 1336653492

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 Blvd
Portland, OR 97232-2941
Phone: (503) 232-1099
Show map & directions

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 number1336653492
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 28, 2017
Last updated in NPPESOctober 27, 2023
Certification dateOctober 8, 2023

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