ELIZABETH NOAMI LONG (NPI# 1467764134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467764134 |
| Entity Type | Individual |
| Full Name | ELIZABETH NOAMI LONG |
| Credential | CADC II |
| Practice Address |
1003 E Main St Ste 104 Medford OR 97504 |
| Mailing Address |
1003 E Main St Ste 104 Medford OR 97504-7140 |
| Practice Telephone | 5417791282 |
| Practice Fax Number | 5416082888 |
| Mailing Telephone | 5417791282 |
| Mailing Fax Number | 5416082888 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
95-R-10 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 95-R-10 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821501123 | Elizabeth Kay Long | Nurse Practitioner | 27258 Monique Ridge Ln, Spring, TX 77386-4044 | 2017-11-08 |
| 1134653637 | Elizabeth Long | Speech-Language Pathologist | 307 Upton St, Winston Salem, NC 27103-1735 | 2017-04-12 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1336409770 | Elizabeth Perry Long | Lactation Consultant, Non-RN | 4004 Keble Dr, Charlotte, NC 28269-1405 | 2012-05-19 |
| 1346496270 | Elizabeth Long | Specialist | 342 Mulberry Ct, B1, Bartlett, IL 60103-7961 | 2008-08-12 |
| 1750353082 | Elizabeth Mckinley Long | Nurse Practitioner | Troy University, Hamil Hall Student Health Center, Troy, AL 36082-0001 | 2006-02-02 |
| 1225636236 | Elizabeth C Long | Counselor | 100 Arapahoe Ave Ste 9, Boulder, CO 80302-5854 | 2020-10-12 |
| 1427669191 | Elizabeth Long | Pharmacist | 4995 E Us Route 36, Decatur, IL 62521-9701 | 2020-08-14 |
| 1093350670 | Elizabeth Mary Long | Registered Nurse | 3400 Spruce St, Rhoads 5, Philadelphia, PA 19104 | 2019-11-07 |
| 1194372102 | Elizabeth Long | Social Worker | 1169 Eastern Pkwy Ste 3364, Louisville, KY 40217-1415 | 2019-08-23 |
| Street Address |
1003 E MAIN ST STE 104 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358194 | Leticia Parra Aguilar | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-10-21 |
| 1578113791 | Kim Oveson | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2019-09-19 |
| 1841786555 | Shelaine M Quall | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2018-07-05 |
| 1770099467 | Zoe Ariel Rossing | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2017-12-18 |
| 1174077978 | Christine Mason | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-08-09 |
| 1346697687 | Allan Rucker | Peer Specialist | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1548617889 | Jackie M Jones | Counselor | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1700233087 | Anne Daugherty | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1326495607 | Nicole Elliott | Registered Nurse | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-17 |
| 1366899734 | Deana Carvalho | Personal Emergency Response Attendant | 1003 E Main St Ste 104, Medford, OR 97504-7140 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124685870 | Tracy L Sunde | Counselor | 512 4th St Sw, Medford, MN 55049-9568 | 2019-05-28 |
| 1245737956 | Larkspur Counseling LLC | Counselor | 328 S Central Ave Ste 212, Medford, OR 97501-7274 | 2018-04-09 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1255875654 | Danielle E Peterson | Counselor | 429 W Broadway Ave, Medford, WI 54451-1608 | 2016-12-05 |
| 1376099523 | Patricia Mcatee | Counselor | 243 N Holly St, Apt 1, Medford, OR 97501-5603 | 2016-08-28 |
| 1437512449 | Sage Bosch | Counselor | 1003 E Main St # 104, Medford, OR 97504-7448 | 2016-03-29 |
| 1114385853 | April Collins-macauley | Counselor | 234 W 5th St, Medford, OR 97501-2611 | 2016-02-09 |
| 1154714418 | Marykay Powell | Counselor | 4175 Cedar Ln, Medford, OR 97501-9611 | 2015-03-11 |
| 1699163931 | Violeta Iguchi | Counselor | 3501 Excel Dr Ste 225, Medford, OR 97504-8067 | 2015-01-08 |
| 1790109049 | Ellen Lynch | Counselor | 3251 Route 112 Ste 2, Medford, NY 11763-1446 | 2014-02-06 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on ELIZABETH NOAMI LONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.