Pamela Dian Long is a Medical in Milwaukie, Oregon. Pamela Dian Long practices all healthcare services and medical treatments related to Medical. The NPI Number for Pamela Dian Long is 1104022185. The last update date is 2020-08-10.
Pamela Dian Long's current location address is 4560 Se International Way Ste 100, Milwaukie, Oregon. You can contact this provider via phone number 9712065179. The mailing address for Pamela Dian Long is 4560 Se International Way Ste 100, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Dian Long |
|---|---|
| Address | 4560 Se International Way Ste 100, Milwaukie, Oregon |
| Phone Number | 9712065179 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1104022185 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 4560 Se International Way Ste 100 |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972224628 |
| Phone Number | 9712065179 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00611 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500640462 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pamela Dian Long by the Centers for Medicare & Medicaid Services (CMS)?
The Pamela Dian Long has been assigned the NPI (National Provider Identifier) 1104022185. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Pamela Dian Long is located?
The Pamela Dian Long is situated at the following address: 4560 Se International Way Ste 100, Milwaukie, OR, 972224628.
What is Pamela Dian Long's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pamela Dian Long is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104022185 to Pamela Dian Long?
The Pamela Dian Long received its 1104022185 assignment from the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the details related to Pamela Dian Long most recently updated or revised?
The information pertaining to Pamela Dian Long, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-10.