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1720304843
AMY M LONG
PORTLAND, OR
NPI
1720304843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OR 201050047NP)
Enumeration Date
2010-04-14
Last Update Date
2022-04-01
Business Address
AMY M LONG GNP
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
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Mailing Address
AMY M LONG GNP
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
Copy
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