Individual provider · Type 1 NPI
Stephen Long
Medical Physician Assistant · Klamath Falls, OR
NPI number
1376633685
Active
Practice location
1700 Wade Cir
Klamath Falls, OR 97601-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA 10921 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1376633685
Stephen Long's National Provider Identifier is 1376633685, issued on Oct 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Klamath Falls, OR. The record was last updated on Jul 8, 2007.