Jesse Dubois Liberty, L.Ac
Acupuncturist in Eugene, OR. Individual provider (NPI-1).
NPI number1699028407
StatusActive
Last updated in NPPESOct 17, 2012
Details
- NPI
- 1699028407
- Entity type
- Individual (NPI-1)
- Name
- Jesse Dubois Liberty
- Credential
- L.Ac
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2012
- Last updated
- Oct 17, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC160297 | OR | Yes |
Practice location
150 Shelton McMurphey BlvdSuite 203
Eugene, OR 97401-5015
Phone 541-762-1755
Mailing address
150 Shelton McMurphey BlvdSuite 203
Eugene, OR 97401-5015
Phone 541-762-1755
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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