Laurel Long, PA-C

NPI #1003674714 in Beaverton, Oregon

Provider Information

NPI Number: 1003674714
Entity Type: Individual
Name: Laurel Long, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 7, 2024
Last Updated: Feb 18, 2025

Practice Location

Address: 14278 SW ALLEN BLVD
City: Beaverton
State: Oregon
ZIP Code: 97005-4405
Phone: (503) 305-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Physician Assistant	363A00000X	Primary

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