Organization
TS WASHINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B LONG MD (OWNER)
(503) 413-2863
Entity
Organization
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(503) 413-2863
(503) 284-9404
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 413-2863
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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