Long, Doranne

Long, Doranne is an individual health care provider with primary practice located at 544 Union Ave , Grants Pass OR 97527-5544. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Long, Doranne can be contacted via phone (541) 955-0940.

Contact Information

Primary practice address
544 Union Ave Grants Pass OR 97527-5544
Phone: (541) 955-0940
Fax: (541) 955-5233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1086 Oregon

Profile Details

NPI number 1033195730
LBN Legal business name Long, Doranne
Credentials M.S., P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033195730 NPPES
Oregon Other R102653 GROUP MEDICARE
Oregon MEDICAID 050927 GROUP MEDICARE

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