Long, Mitch

Long, Mitch is an sole proprietor health care provider with primary practice located at 320 Sw 2Nd St , Corvallis OR 97333-4632. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Long, Mitch can be contacted via phone (541) 602-2289.

Contact Information

Primary practice address
320 Sw 2Nd St Corvallis OR 97333-4632
Phone: (541) 602-2289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 22284 Oregon

Profile Details

NPI number 1255887147
LBN Legal business name Long, Mitch
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 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.

Request for update

Popular Providers