MR. Shane Patrick Long, M.A.

NPI #1275640831 in Clackamas, Oregon

Provider Information

NPI Number
1275640831
Entity Type
Individual
Name
MR. Shane Patrick Long, M.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
M.A.
Enumeration Date
Aug 23, 2006
Last Updated
Mar 6, 2022

Practice Location

Address
KAISER SUNNYSIDE MEDICAL OFFICE
Address 2
10180 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-9764
Phone
(503) 571-1995

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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