Individual
WILLIAM BROUGHTON LONG III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N GRAHAM, SUITE # 580, PORTLAND, OR 97227
(503) 528-0704
(503) 528-0708
Mailing address
501 N GRAHAM, SUITE # 580, PORTLAND, OR 97227
(503) 528-0704
(503) 528-0708
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
MD00023470
WA
2086S0127X
Trauma Surgery Physician
Primary
MD13786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290536
—
OR
Enumeration date
01/24/2006
Last updated
07/08/2007
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