Marcia a. Liberatore, MD PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD24224 Issued in OR

Legal business name

MARCIA A. LIBERATORE, MD PC

Practice address

917 NW Grant Ave
Corvallis, OR 97330-4570

Phone

(541) 753-1172

Fax

(541) 752-9935

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Antoinette Liberatore, MD

Title

Owner

Phone

(541) 753-1172

Specialties & licenses 1

Addresses

Other names 1

• Corvallis Integral Medicine Doing business as

Locations

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1629254271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 191",
            "address_2": "922 NW CIRCLE BLVD, STE 160",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301410",
            "telephone_number": "541-753-1172",
            "fax_number": "541-752-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 NW GRANT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304570",
            "telephone_number": "541-753-1172",
            "fax_number": "541-752-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA A. LIBERATORE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "LIBERATORE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-753-1172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "MD24224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvallis Integral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Manley
• Connor Matthew Manning
• Brin Daniel Manoogian-O'Dell
• David J. Mansoor, M.D.
• Janice Lorraine Mantell, MA
• Dawn Nichole Marcus, CRM
• Margaret Yamasaki LCSW LLC
• Stacy Marinelli
• Luiza Gabriela Marinescu, DNP
• Mark a Henke DMD PC

• Health Service Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.