Search › Washington › 207R00000X
Jack Long, MD
NPI 1366480949 · on the registry since 2006
Practice
- Address
- 100 E 33rd St Ste 100
Vancouver, WA 98663 - Phone
- (360) 256-2000
- Fax
- (360) 514-7553
- Organisation at this address
- Hudson'S Bay Medical Group, Inc., P.S.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 101
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207RE0101X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington