Individual
DAVID D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 203-2040
Mailing address
9427 SW BARNES RD, PORTLAND, OR 97225-6652
(503) 203-2040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07858
OR
Other
Enumeration date
08/17/2006
Last updated
07/10/2007
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