Individual
DR. CHRISTOPHER JAY LONGAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12235 NW BIG FIR CIR, PORTLAND, OR 97229-3903
(503) 644-2934
Mailing address
12235 NW BIG FIR CIR, PORTLAND, OR 97229-3903
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD10104
OR
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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