Individual
NATHAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
(714) 586-6005
Mailing address
7916 SE FOSTER RD STE 201, PORTLAND, OR 97206-4289
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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