Stephen Farrell Lieberman, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD11245 Issued in OR

Practice address

10100 SE Sunnyside Rd
Mt Talbert Medical Office
Clackamas, OR 97015-8970

Phone

(503) 571-3787

Fax

(503) 571-3772

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841306925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 PFEIFER DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352408",
            "telephone_number": "503-635-3141",
            "fax_number": "503-635-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 SE SUNNYSIDE RD",
            "address_2": "MT TALBERT MEDICAL OFFICE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "503-571-3787",
            "fax_number": "503-571-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "STEPHEN",
        "middle_name": "FARRELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD11245",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD00034645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azeb Libase, RN
• Marcia Liberson
• Licensed Psychology Associates LLC
• Michael Todd Lichtenberg, M.A., MCFT, QMHP
• Kenneth George Lie, MD
• Jeffrey Stephen Liebo, M.D.
• Allegra Liedtke, MS
• Jeffrey James Lillie, PHARM D
• Claudio Rogerio Lima, P.A.
• Linda E Schmidt MD PC

• Urology Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.