Long, Barbara J.
Long, Barbara J. is an individual health care provider with primary practice located at 2055 Nw Savier St Suite 201, Portland OR 97209-1770. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Long, Barbara J. can be contacted via phone (503) 494-1414.Contact Information
Primary practice address
2055 Nw Savier St Suite 201
Portland OR 97209-1770
Phone: (503) 494-1414
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G65750 | California |
Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | G65750 | California |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD126297 | Oregon |
Profile Details
NPI number | 1639100902 |
---|---|
LBN Legal business name | Long, Barbara J. |
Credentials | MD MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Feb 13th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639100902 | NPPES |
California | MEDICAID | 00G657500 |
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