Individual
ROBERT ALLEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6250 COMMERCIAL ST N.E., SALEM, OR 97306
(503) 485-1666
(503) 581-6867
Mailing address
853 MEDICAL CENTER DR NE, SALEM, OR 97301-2752
(503) 364-5313
(503) 364-5296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2220
OR
Other
Enumeration date
05/22/2007
Last updated
06/16/2008
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