Long, Katie Jo

Long, Katie Jo is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered, which is considered as her primary health care specialty. Long, Katie Jo can be contacted via phone (503) 494-8311.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-8311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Registered 227900000X 10184683 Oregon

Profile Details

NPI number 1326665506
LBN Legal business name Long, Katie Jo
Credentials Registered Respiratory Therapist (RRT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2020
Last updated Jul 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326665506 NPPES
Oregon Other 10184683 RESPIRATORY THERAPY LICENSE

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