Individual
JEFFREY LEE LONGTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 SW BLUFF DR STE 210, BEND, OR 97702-3220
(541) 382-3308
Mailing address
520 KOUNS DR NW, ALBANY, OR 97321-9308
(503) 799-2852
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10250739
OR
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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