Individual
JENNIFER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
333 SW 5TH ST, GRANTS PASS, OR 97526-2509
(541) 471-0397
Mailing address
524 ST AUGUSTINE DR, MEDFORD, OR 97504-2154
(541) 531-2151
(541) 249-4100
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC192417
OR
Other
Enumeration date
06/04/2019
Last updated
04/06/2025
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