Liberty Blank, N.D., LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

LIBERTY BLANK, N.D., LLC

Practice address

15160 NW Laidlaw Road
Suite 245
Portland, OR 97229

Phone

(503) 944-1138

NPI assigned

Sep 26, 2023

Organization subpart

Yes

Parent organization

LIBERTY BLANK, N.D., LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Liberty Blank, N.D.

Title

Owner

Phone

(503) 944-1138

Specialties & licenses 1

Addresses

Part of

Liberty Blank ND LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1093594392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NW MACLEAY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15160 NW LAIDLAW ROAD",
            "address_2": "SUITE 245",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97229",
            "telephone_number": "503-944-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BLANK, N.D., LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERTY BLANK, N.D., LLC",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-944-1138",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Melinda Libera
• Liberating Livelihood
• Liberation Therapy Center LLC
• Angela M Liberatore, NP
• Jennifer Liberts, LCSW
• Abigail Liberty, MD, MSPH
• Spring Liberty
• Kim Leanne Libonati, NNP
• Mary Rose Licari
• Winnifreda Espino Licaycay, N. P.

• Integrative Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Integrative Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.