Long, Jacque

Long, Jacque is an individual health care provider with primary practice located at 315 Oak St Suite 200, Hood River OR 97031-2062. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Long, Jacque can be contacted via phone (541) 386-0009.

Contact Information

Primary practice address
315 Oak St Suite 200 Hood River OR 97031-2062
Phone: (541) 386-0009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 09396 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P160660710 Washington

Profile Details

NPI number 1821532631
LBN Legal business name Long, Jacque
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 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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