AMY M LONG


Address: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102
Phone: 9712025500

AMY M LONG (NPI# 1720304843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720304843
Entity Type Individual
Full Name AMY M LONG
Credential GNP
Practice Address 5100 Sw Macadam Ave
Suite 200
Portland
OR 97239-6102
Practice Telephone 9712025500
Practice Fax Number 9712025555
Mailing Telephone 9712025500
Mailing Fax Number 9712025555
Enumeration Date 2010-04-14
Last Update Date 2013-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
201050047NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMY LONG

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1902407190 Amy Schulin Long Nurse Practitioner 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 2020-11-04
1114384245 Amy Long Speech-Language Pathologist 5530 Westbury Dr, Enola, PA 17025-3316 2016-01-20
1245696558 Amy Renee Long Counselor 2406 Cleveland Hwy, Suite 305, Dalton, GA 30721-8155 2016-01-04
1043689219 Amy Long Counselor 2906 Beacon St Ste B, Colorado Springs, CO 80907-6193 2015-09-17
1184857294 Amy Long Audiologist 3792 E 8th Ave, Denver, CO 80206-4020 2009-08-24
1366476426 Amy Christine Long Specialist 3810 Se Belmont St, Portland, OR 97214-4330 2006-07-11
1902412588 Amy James Long Massage Therapist 302 Maple Ave, Snohomish, WA 98290-2526 2020-09-19
1518528785 Amy Long Nurse Practitioner 1401 Highway 14, Millbrook, AL 36054-2243 2019-06-27
1053829515 Amy Kuuttila Long Registered Nurse 2850 S Industrial Hwy, Ann Arbor, MI 48104-6796 2018-01-18
1164839494 Amy Maria Long Nurse Practitioner 1755 Gunbarrel Rd, Suite 209, Chattanooga, TN 37421-7137 2014-07-18

Office Location

Street Address 5100 SW MACADAM AVE
SUITE 200
City PORTLAND
State OR
Zip Code 97239-6102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457324949 George Goodstein Internal Medicine 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 2006-02-07
1700307386 Kelsey Allrich Counselor 5100 Sw Macadam Ave, Portland, OR 97239-6102 2017-07-04
1518498567 Amber Sirstad Counselor 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 2017-03-22
1558801019 Trystan Rose Counselor 5100 Sw Macadam Ave, # 400, Portland, OR 97239-6102 2017-03-03
1891246070 Lines for Life Community/Behavioral Health 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 2016-10-22
1952856585 Housecall Providers, Inc Nurse Practitioner 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 2016-08-24
1700239605 Lisa Stiller Counselor 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 2016-07-15
1740636091 Theresa Burks Counselor 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 2016-05-05
1740643253 Michael Schwarting Counselor 5100 Sw Macadam Ave, Ste 400, Portland, OR 97239-6102 2016-04-01
1528420205 Justin Li Counselor 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 2016-03-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568419091 Carolyn Dolores Concia Nurse Practitioner 2308 Nw Stimpson Ln, Portland, OR 97229-8562 2006-05-30
1043862550 Katherine Felicia Edstrom Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-07-15
1487216669 Carolyn D Concia Np Prof Corp Nurse Practitioner 2308 Nw Stimpson Ln, Portland, OR 97229-8562 2019-07-08
1154809903 Molly Christine Davis Nurse Practitioner 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2018-08-03
1992115851 Lizzie Colon Nurse Practitioner 5000 N Willamette Blvd, Portland, OR 97203 2014-04-30
1376885137 Aimee Finau Cama Nurse Practitioner 6410 Ne Halsey St Ste 300, Portland, OR 97213 2013-03-20
1235408048 Michael Dawson Nurse Practitioner 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 2011-12-22
1255447447 Eileen Gilmartin Nurse Practitioner 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2006-08-22
1043247059 Virginia Lee Harris Nurse Practitioner 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 2006-06-26
1629010574 Gayle Melinda Miller Nurse Practitioner 4610 Se Belmont St, Suite 60, Portland, OR 97215-1752 2006-06-12
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Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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