LAUREL LONG, PA-C
Physician Assistant
Active
Individual
NPI: 1003674714
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | No | ABA-IN-10241615 (OR) |
| Physician Assistant | 363A00000X | Yes | PA22399 (OR) |
Frequently Asked Questions
NPI 1003674714 is the National Provider Identifier for LAUREL LONG, PA-C, a Physician Assistant provider located in Beaverton, OR. This NPI was enumerated on March 7, 2024.
LAUREL LONG, PA-C practices at 14278 SW ALLEN BLVD, Beaverton, OR 97005.
Quick Facts
- NPI
- 1003674714
- Type
- Individual
- Enumerated
- Mar 7, 2024
- Last Updated
- Feb 18, 2025
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