IndividualActive
Antonio Maldonado-Liu
NPI 1497416267 · Student in an Organized Health Care Education/Training Program · Lebanon, OR
Provider details
- NPI number
- 1497416267
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
200 Mullins Dr
Lebanon, OR 97355-3983
Registry dates
- Enumerated
- 2022-01-04
- Last updated
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.