Active NPI
Annie Lian-Foong Liem, MD
- Pediatrics Physician
- Camas, WA
National Provider Identifier
1710969837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00034203
- Practice address
- 713 NE 4TH Ave
Camas, WA 98607-2111 - Phone
- (360) 833-4519
- Fax
- (360) 833-4521
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00034203 | WA | Primary |
| Pediatrics Physician | 208000000X | MD20128 | OR |
Addresses
Primary practice location
713 NE 4TH Ave
Camas, WA 98607-2111
Mailing address
713 NE 4TH Ave
Camas, WA 98607-2111
Phone (360) 833-4519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084819 | Other | OR | OMAP |
| 1109982 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20128 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710969837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 NE 4TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072111",
"telephone_number": "360-833-4519",
"fax_number": "360-833-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 NE 4TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986072111",
"telephone_number": "360-833-4519",
"fax_number": "360-833-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEM",
"first_name": "ANNIE",
"middle_name": "LIAN-FOONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00034203",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD20128",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "084819",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1109982",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.