MR. KEITH LONG, PA-C

Physician Assistant

Active Individual
NPI: 1467407122

Practice Address

76 NE 12TH ST
Madras, OR 97741

Phone: (541) 475-3874

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA00386 (OR)

Frequently Asked Questions

NPI 1467407122 is the National Provider Identifier for MR. KEITH LONG, PA-C, a Physician Assistant provider located in Madras, OR. This NPI was enumerated on May 23, 2006.
MR. KEITH LONG, PA-C practices at 76 NE 12TH ST, Madras, OR 97741.

Quick Facts

NPI
1467407122
Type
Individual
Enumerated
May 23, 2006
Last Updated
Jul 9, 2007

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