Long, Georgia

Long, Georgia is an individual health care provider with primary practice located at 5023 Ne Killingsworth St , Portland OR 97218-1915. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Long, Georgia can be contacted via phone (503) 284-4249.

Contact Information

Primary practice address
5023 Ne Killingsworth St Portland OR 97218-1915
Phone: (503) 284-4249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1356954069
LBN Legal business name Long, Georgia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 2020 - about 6 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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