DR. KATHERINE R LONG (NPI# 1932181013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932181013 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE R LONG |
| Credential | MD |
| Practice Address |
24850 Se Stark St Suite 150 Gresham OR 97030-8318 |
| Practice Telephone | 5034910714 |
| Practice Fax Number | 5036742834 |
| Mailing Telephone | 5034910714 |
| Mailing Fax Number | 5036742834 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD25210 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316483555 | Katherine Long | Massage Therapist | 1409 W Main St Ste 100, Boise, ID 83702-5202 | 2017-01-11 |
| 1316278005 | Katherine Knoll Long | Physical Therapist | 3280 Dauphin St Ste A103, Mobile, AL 36606-4048 | 2010-01-20 |
| 1598301194 | Katherine S Long | Nurse Practitioner | 3500 Arendell St, Morehead City, NC 28557-2901 | 2019-11-19 |
| 1326515685 | Katherine Long | Counselor | 4030 Mount Carmel Tobasco Rd Ste 102, Cincinnati, OH 45255-3408 | 2018-10-25 |
| 1912421827 | Katherine Long | Occupational Therapist | 8507 Ne 8th Way, Vancouver, WA 98664-1980 | 2017-08-01 |
| 1902349301 | Katherine Spalding Long | Speech-Language Pathologist | 480 Cadys Falls Rd, Morristown, VT 05661-9137 | 2016-12-02 |
| 1275085854 | Katherine Long | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2016-10-28 |
| 1265882229 | Katherine Long | Skilled Nursing Facility | 7600 Autumn Park Way, Mechanicsville, VA 23116-3868 | 2016-06-20 |
| 1154715530 | Katherine Long | Physical Therapist | 536 Old Howell Rd, Greenville, SC 29615-1969 | 2015-03-24 |
| 1316368152 | Katherine Long | Speech-Language Pathologist | 4443 Rowan Rd, New Port Richey, FL 34653-6198 | 2013-12-20 |
| Street Address |
24850 SE STARK ST SUITE 150 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-8318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426110 | Julia W Mason | Pediatrics | 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 | 2005-06-08 |
| 1124575139 | Gretchen Ann Grooms | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2016-09-07 |
| 1770787681 | Renee Nicole Goodreau | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-06-13 |
| 1629286273 | Northwest Oral & Maxillofacial Surgeons, LLC | Dentist | 24850 Se Stark St, Suite 100, Gresham, OR 97030-8316 | 2007-05-18 |
| 1164547634 | Jennifer Marie Boom | Massage Therapist | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-03-21 |
| 1063558807 | June Ellen Hobbs | Advanced Practice Midwife | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2007-01-29 |
| 1801968086 | Mt Hood Women's Health PC | Clinic/Center | 24850 Se Stark St, Suite 200, Gresham, OR 97030 | 2006-11-14 |
| 1427066554 | Kelly Annette Carter | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1982612024 | Michelle Cecile Champagne | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| 1841208972 | Sandra Ann Collis | Obstetrics & Gynecology | 24850 Se Stark St, Suite 200, Gresham, OR 97030-8316 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1891126538 | Sydmarie Bisenius | Pediatrics | 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 | 2013-12-05 |
| 1326241241 | Stephanie Sari | Pediatrics | 24988 Se Stark St Ste 200, Gresham, OR 97030-8324 | 2007-06-07 |
| 1568592913 | Pediatric Associates of Gresham PC | Pediatrics | 2150 Ne Division St Ste 103, Gresham, OR 97030-5858 | 2007-03-06 |
| 1366592214 | Norman Toshiaki Eki | Pediatrics | 1326 Nw Civic Dr, Gresham, OR 97030-5569 | 2007-01-11 |
| 1942215678 | Denise D Kinstetter | Pediatrics | 1217 Ne Burnside, Ste 301, Gresham, OR 97030 | 2006-07-30 |
| 1942246046 | Kenneth Owen Fennell | Pediatrics | 24850 Se Stark, Ste 150, Gresham, OR 97030 | 2006-06-20 |
| 1477555860 | Peter R Gyerko | Pediatrics | 24988 Se Stark St, Suite 200, Gresham, OR 97030-8322 | 2005-08-15 |
| 1720089022 | Hildegard A.e. Schone | Pediatrics | 25500 Se Stark St., Suite 102, Gresham, OR 97030 | 2005-08-09 |
| 1164426110 | Julia W Mason | Pediatrics | 24850 Se Stark St, Suite 150, Gresham, OR 97030-8316 | 2005-06-08 |
| 1114346442 | Nicki Nabavizadeh | Pediatrics | 25050 Se Stark St Ste 300, Gresham, OR 97030-3388 | 2014-04-15 |
| Find all providers in GRESHAM | ||||
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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.