Healthcare Provider Details

I. General information

NPI: 1427532621
Provider Name (Legal Business Name): BRITTANY C. LONG ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 09/15/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 LIBERTY ST SE STE 210
SALEM OR
97302
US

IV. Provider business mailing address

960 LIBERTY ST SE STE 210
SALEM OR
97302
US

V. Phone/Fax

Practice location:
  • Phone: 503-990-8395
  • Fax: 971-332-9917
Mailing address:
  • Phone: 503-990-8395
  • Fax: 971-332-9917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: