Individual
AMY M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
201050047NP
OR
Other
Enumeration date
04/14/2010
Last updated
04/01/2022
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