James W Long Md Pc
LBN: James W Long Md Pc
James W Long Md Pc is an health care organization with primary practice located at 1020 Liberty St Se , Salem OR 97302-4141. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
James W Long Md Pc can be contacted via phone (503) 581-7412, or through Walls, Karen D via phone (503) 581-7412.
Contact Information
Primary practice address
1020 Liberty St Se
Salem OR 97302-4141
Phone: (503) 581-7412
Fax: (503) 581-1095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1604AT | Oregon |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3152ATI | Oregon |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD10954 | Oregon |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD26362 | Oregon |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | MD10954 | Oregon |
Profile Details
| NPI number | 1578788014 |
|---|---|
| LBN Legal business name | James W Long Md Pc |
| DBA Doing business as | |
| Authorized official | Walls, Karen D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Oct 27th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578788014 | NPPES |
| Oregon | MEDICAID | 241802 |
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