Organization
ERIC W LONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LONG (OWNER)
(503) 692-1990
Entity
Organization
Contact information
Practice address
6485 SW BORLAND RD, STE G, TUALATIN, OR 97062-9762
(503) 692-1990
(503) 692-1992
Mailing address
6485 SW BORLAND RD, STE G, TUALATIN, OR 97062-9762
(503) 692-1990
(503) 692-1992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10871
OR
Other
Enumeration date
09/12/2007
Last updated
09/13/2007
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