Long, William Broughton
Long, William Broughton is an individual health care provider with primary practice located at 501 N Graham Suite # 580, Portland OR 97227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Long, William Broughton can be contacted via phone (503) 528-0704.Contact Information
Primary practice address
501 N Graham Suite # 580
Portland OR 97227
Phone: (503) 528-0704
Fax: (503) 528-0708
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD13786 | Oregon |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | MD00023470 | Washington |
Profile Details
NPI number | 1598735490 |
---|---|
LBN Legal business name | Long, William Broughton |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1598735490 | NPPES |
Oregon | MEDICAID | 290536 |
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