DR. BARBARA J. LONG (NPI# 1639100902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639100902 |
Entity Type | Individual |
Full Name | DR. BARBARA J. LONG |
Credential | MD MPH |
Practice Address |
2055 Nw Savier St Suite 201 Portland OR 97209-1770 |
Mailing Address |
707 Sw Gaines St Portland OR 97239-2901 |
Practice Telephone | 5034941414 |
Mailing Telephone | 5034944127 |
Mailing Fax Number | 5034941542 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2014-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | G65750 | CA | Allopathic & Osteopathic Physicians |
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD126297 | OR | Allopathic & Osteopathic Physicians |
N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
G65750 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G657500 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396239604 | Barbara Walter Long | Registered Nurse | Medical Park Family Care-diabetes Care Center, 2221 E. Northern Lights Blvd. Suite 118, Anchorage, AK 99508 | 2018-06-20 |
1215395389 | Barbara Long | Registered Nurse | 2240 Winrow Rd, Fort Huachuca, AZ 85613-5080 | 2016-02-04 |
1952723744 | Barbara Long | Specialist/Technologist | 402 E College St, College Box 152, Bridgewater, VA 22812-1511 | 2014-01-13 |
1053676106 | Barbara Fay Long | Nurse Practitioner | 1230 Baxter St, Athens, GA 30606-3712 | 2012-07-05 |
1629225412 | Barbara Long | Social Worker | 20 Community Ln, Liberty, NY 12754-2851 | 2008-08-22 |
1730303678 | Barbara Mae Long | Developmental Therapist | 634 E Ash St, Canton, IL 61520-2016 | 2007-04-12 |
1811993868 | Barbara Baker Long | Nurse Anesthetist, Certified Registered | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2005-06-23 |
Street Address |
2055 NW SAVIER ST SUITE 201 |
City | PORTLAND |
State | OR |
Zip Code | 97209-1770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205385556 | University Professional Services | Internal Medicine | 2055 Nw Savier St, Suite 201, Portland, OR 97209-1770 | 2016-09-28 |
1659789675 | Tara Barton | Occupational Therapist | 2055 Nw Savier St, Suite 201, Portland, OR 97209-1770 | 2014-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
Find all providers in zip 97209 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780760785 | Julie K O'toole | Pediatrics | 3530 N Vancouver Ave Ste 400, Portland, OR 97227-1798 | 2006-10-31 |
1649365016 | Stephen S. Digiovanni | Pediatrics | 22 Bramhall St, Portland, ME 04102-3134 | 2006-10-03 |
1669488268 | Clifford Wayne Sells | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-08-01 |
1922036292 | Geraldine Kempler | Pediatrics | 9555 Sw Barnes Rd, Suite 270, Portland, OR 97225-6663 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548728769 | Sandra A. Vilhauer, M.d., P.C. | Pediatrics | 5920 Ne Ray Cir Ste 220, Hillsboro, OR 97124-6313 | 2019-03-06 |
1588609853 | Barbara Sniffen | Pediatrics | 1465 Ne 7th St, Grants Pass, OR 97526-1303 | 2006-06-19 |
1588902902 | Olson Pediatric Clinic, LLC | Pediatrics | 16463 Boones Ferry Rd, Suite 400, Lake Oswego, OR 97035-4259 | 2013-01-18 |
1760647705 | Robert L Velarde | Pediatrics | 995 Willagillespie Rd, #100, Eugene, OR 97401-2186 | 2008-07-18 |
1629135926 | Kevin Francis Wade | Pediatrics | 1219 Sw 4th Ave, Ontario, OR 97914-4566 | 2007-01-03 |
1659442960 | Eugene Pediatric Associates LLC | Pediatrics | 995 Willagillespie Rd, Suite 100, Eugene, OR 97401-2186 | 2006-11-10 |
1306873591 | Philip G Miller | Pediatrics | 10690 Ne Cornell Rd Ste 220, Hillsboro, OR 97124-9224 | 2006-06-26 |
1700830379 | Paul Anthony Campagna | Pediatrics | 600 Nw 11th St, E37, Hermiston, OR 97838-8602 | 2006-05-19 |
1659343341 | Pilar A Bradshaw | Pediatrics | 3377 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-06 |
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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.