Long, Amy M

Long, Amy M is an individual health care provider with primary practice located at 5100 S Macadam Ave Ste 200 , Portland OR 97239-3827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Long, Amy M can be contacted via phone (971) 202-5500.

Contact Information

Primary practice address
5100 S Macadam Ave Ste 200 Portland OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201050047NP Oregon

Profile Details

NPI number 1720304843
LBN Legal business name Long, Amy M
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2010
Last updated Apr 1st, 2022 - about 4 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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