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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1639100902 NPPES
California MEDICAID 00G657500

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