Jacque Long

Physical Therapy Assistant · Hood River, OR

Individual Active NPI

NPI number 1821532631

Practice location

315 Oak St
Suite 200
Hood River, OR 97031-2062
Phone
(541) 386-0009

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NPI record

NPI
1821532631
Entity type
Individual (Type 1)
Enumeration date
December 13, 2016
Last updated
December 13, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 09396 OR
Physical Therapy Assistant 225200000X P160660710 WA

Mailing address

315 Oak St
Hood River, OR 97031-2062
Phone
(541) 386-0009

About Jacque Long

Jacque Long is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 315 Oak St, Suite 200, Hood River, OR 97031-2062. The NPI number 1821532631 was assigned on December 13, 2016 and the record was last updated on December 13, 2016.

Jacque Long lists 2 licenses in the registry: #09396 (OR) for Physical Therapy Assistant; #P160660710 (WA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacque Long?

The NPI number is 1821532631.

What is the phone number of Jacque Long?

The phone number listed for the practice location is (541) 386-0009.

Where is Jacque Long located?

315 Oak St, Suite 200, Hood River, OR 97031-2062.

What is the taxonomy code for Jacque Long?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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