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NPI Code Detail

MEDICARE: CAMRYN LONG

MEDICARE: CAMRYN LONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437089109
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMRYN LONG
Provider Business Mailing Address
First Line : 350 N 3RD ST
Second Line :
City : LEBANON
State : OR
Zip : 97355-2821
Country : US
Telephone Number : 443-286-7032
Fax Number :
Provider Business Practice Location Address
First Line : 200 MULLINS DR
Second Line :
City : LEBANON
State : OR
Zip : 97355-3983
Country : US
Telephone Number : 541-259-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ CAMRYN LONG ” Practice Location

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