Individual
MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
17120 PILKINGTON RD, LAKE OSWEGO, OR 97035-5353
(503) 974-9078
(503) 974-9083
Mailing address
12540 SW 68TH AVE, TIGARD, OR 97223-8597
(503) 974-9078
(503) 974-9083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4429
OR
2251X0800X
Orthopedic Physical Therapist
4429
OR
Other
Enumeration date
01/17/2007
Last updated
12/11/2023
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