| Connie L Liakos, RD, LD | |
|
7150 Sw Dartmouth St., Tigard, OR 97223 | |
| (503) 968-3480 | |
| (503) 227-4589 |
| Full Name | Connie L Liakos |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 7150 Sw Dartmouth St., Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083979454 | NPI | - | NPPES |
| 500654435 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LDD000122 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Connie L Liakos, RD, LD 2701 Nw Vaughn St, Suite 360, Portland, OR 97210 Ph: (503) 227-0671 | Connie L Liakos, RD, LD 7150 Sw Dartmouth St., Tigard, OR 97223 Ph: (503) 968-3480 |
Jessica Lynn Felly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7358 Sw Durham Rd, Tigard, OR 97224 Phone: 503-628-9241 | |
Karina Ann Inouye, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13804 Sw Anna Ct, Tigard, OR 97223 Phone: 541-521-2271 | |
Carole L Matiaco, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15895 Sw 72nd Ave, Suite 250 Bldg B, Tigard, OR 97224 Phone: 503-624-5630 Fax: 503-624-9149 |