Individual
MRS. ERIN H LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
1422 Z AVE, LA GRANDE, OR 97850-3644
(541) 963-9137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OR
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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