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DR. BARBARA J. LONG MD MPH

Physicians Pediatrics

Provider NPI: 1639100902

Provider Information:
DR. BARBARA J. LONG MD MPH
Gender: F
Not Sole Proprietor

Practice Location:
2055 NW SAVIER ST SUITE 201 PORTLAND, OR 97209-1770 US
Tel: 503-494-1414  Fax: --

Business Mailing Address:
707 SW GAINES ST  PORTLAND, OR 97239-2901 US
Tel: 503-494-4127  Fax: 503-494-1542

NPI Information:
NPI: 1639100902
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
CAG65750
N2080S0010XPhysicians
Pediatrics
CAG65750
Y2080A0000XPhysicians
Pediatrics
ORMD126297

Other Provider Identifiers:

IssuerNumberStateType
00G657500CA05



American Medical Association 2012 taxonomy code information

Code: 2080A0000X

Type:

Classification:



Definition:



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