Individual
LAURA JANE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAURA LONG, RN
Contact information
Practice address
21428 HYDE LN, BEND, OR 97701-9569
(541) 948-0103
Mailing address
1900 NE 3RD ST, #106-350, BEND, OR 97701-3854
(541) 948-0103
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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