Individual
ERIC WILLIAM LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1323 SW SCHAEFFER RD, WEST LINN, OR 97068-9658
(503) 638-1717
(503) 692-1992
Mailing address
1323 SW SCHAEFFER RD, WEST LINN, OR 97068-9658
(503) 638-1717
(503) 692-1992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10871
OR
Other
Enumeration date
10/25/2006
Last updated
01/07/2014
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