Individual
JESSICA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1815 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5186
(503) 292-0765
(503) 292-5208
Mailing address
1815 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5186
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC196024
OR
171100000X
Acupuncturist
AC61332636
WA
Other
Enumeration date
10/27/2022
Last updated
10/19/2023
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