Individual
MICHELLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1599 STATE ST, SALEM, OR 97301-4255
(503) 983-0489
(503) 585-0491
Mailing address
1599 STATE ST, SALEM, OR 97301-4255
(503) 983-0489
(503) 585-0491
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
12/21/2015
Last updated
04/12/2026
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