Dr. John William Liedel , MD
Pediatrics - Developmental - Behavioral Pediatrics • Portland, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Liedel has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Liedel, MD was a registered Pediatrics - Developmental - Behavioral Pediatrics practicing in Portland, OR. Throughout an active medical career spanning 15 years, Dr. Liedel provided care at the practice location at 707 SW GAINES ST until profile deactivation on 2021-04-07.
Practice Location & Contact Primary Location
707 Sw Gaines St
Portland, OR 972392901
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics - Developmental - Behavioral Pediatrics in Portland, OR
Practicing in Portland, OR (31 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 2080P0006X
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Physical Therapist
Physical Therapist
Physical Therapist
Social Worker - Clinical
Physical Therapist
Physical Therapist
Occupational Therapist
Occupational Therapist
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 07, 2021
NPI status registered as active in NPPES database
Registered at 707 SW GAINES ST, PORTLAND, OR 972392901 (Tel: 8004523563)
Registered at 14626 UPLANDS DR, LAKE OSWEGO, OR 970342754
Recorded as JOHN LIEDEL, MD
Pediatrics (License #MD09531 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
14626 Uplands Dr
Lake Oswego, OR 970342754
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