LIBERTY BLANK N.D. LLC NPI 1093594392

NPI Information

  • NPI: 1093594392
  • Provider Name: LIBERTY BLANK, N.D., LLC
  • Classification: Integrative Medicine - 202D00000X
  • Entity Type: Organization
  • CLIA Number: 38D2291267
  • Address: 15160 NW LAIDLAW ROAD
    SUITE 245
    PORTLAND, OR
    ZIP 97229
  • Phone: (503) 944-1138

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NPI Details

LIBERTY BLANK, N.D., LLC is an integrative medicine in Portland, OR. The provider is a physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing. LIBERTY BLANK, N.D., LLC NPI is 1093594392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15160 NW LAIDLAW ROAD
SUITE 245
PORTLAND, OR
ZIP 97229
Phone: (503) 944-1138

The provider's authorized official is Liberty Blank .
The authorized official title is Owner and has the following contact phone number (503) 944-1138.

The CLIA number assigned to this NPI record is 38D2291267 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202D00000XIntegrative MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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