Individual
ANNA C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3456 SE HAROLD CT, PORTLAND, OR 97202-4342
(855) 444-7258
Mailing address
3456 SE HAROLD CT, PORTLAND, OR 97202-4342
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200750076NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750076NP
OR
Other
Enumeration date
07/12/2007
Last updated
01/21/2026
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