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LIBERTY BLANK, N.D., LLC
NPI 1093594392
Integrative Medicine in Portland, OR

Active since September 26, 2023CLIA 38D2291267 · Waiver
15160 NW LAIDLAW ROAD, SUITE 245, PORTLAND, OR 97229(503) 944-1138 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liberty Blank, N.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY BLANK, N.D., LLC (NPI 1093594392) is a healthcare organization registered as an integrative medicine in Portland, Oregon and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Liberty Blank, Owner, as its authorized official.

NPPES Registry Identity

NPI1093594392
Entity TypeOrganization
Primary Taxonomy202D00000X
Legal Business NameLIBERTY BLANK, N.D., LLC
Location Address15160 NW LAIDLAW ROAD, SUITE 245Portland, OR 97229
Mailing Address164 Nw Macleay BlvdPortland, OR 97210
Phone(503) 944-1138
Organization SubpartYes
Authorized OfficialLiberty BlankOwner · (503) 944-1138
Enumeration DateSeptember 26, 2023
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1093594392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
Definition
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.
15160 NW LAIDLAW ROAD, Portland, OR 97229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2291267

Liberty Blank Nd LLC · Portland, OR
Active · expires Oct 7, 2027
CLIA Number38D2291267
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorLiberty M. Blank
Laboratory Phone(503) 944-1138
Laboratory LocationLiberty Blank Nd LLC15160 NW Laidlaw Rd, Ste 245, Portland, OR 97229
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Blank, N.D., LLC's NPI number?

The NPI number for Liberty Blank, N.D., LLC is 1093594392. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Liberty Blank, N.D., LLC located?

Liberty Blank, N.D., LLC is located at 15160 NW Laidlaw Road Suite 245, Portland, OR 97229. The listed phone number is (503) 944-1138.

What is Liberty Blank, N.D., LLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Does Liberty Blank, N.D., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2291267) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Blank, N.D., LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Liberty Blank, N.D., LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Blank, N.D., LLC was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.