Individual
ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8401
(503) 655-8429
Mailing address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8401
(503) 655-8429
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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