HomeNPI Verification

NPI Verification

National Provider Identifier: 1366480949

Jack E Long, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Primary

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

PO BOX 1600

VANCOUVER, WA 986681600

Phone: 360-514-7550

NPI Enumeration Date

June 3, 2006

NPI Number

1366480949

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry