Liberty Blank, N.D., LLC
NPI 1093594392ActiveOrganization· Integrative Medicine· Portland, OR
Integrative Medicine in Portland, Oregon, registered in NPPES in September 2023, part of Liberty Blank, N.D., LLC. The authorized official on file is Liberty Blank, N.D., Owner.
Overview
| NPI | 1093594392 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Liberty Blank, N.D., LLC |
| NPI issued | Sep 26, 2023 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Integrative Medicine Primary | 202D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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