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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1033195730 | NPPES |
| Oregon | Other | R102653 | GROUP MEDICARE |
| Oregon | MEDICAID | 050927 | GROUP MEDICARE |
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