Eric W Long MD PC

NPI #1225223175 in Tualatin, Oregon

Provider Information

NPI Number: 1225223175
Entity Type: Organization
Organization Name: Eric W Long MD PC
Primary Specialty: Specialist
Enumeration Date: Sep 12, 2007
Last Updated: Sep 13, 2007

Practice Location

Address: 6485 SW BORLAND RD
Address 2: STE G
City: Tualatin
State: Oregon
ZIP Code: 97062-9762
Phone: (503) 692-1990

Authorized Official

Name: ERIC LONG
Title: OWNER
Phone: (503) 692-1990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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