Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEITH EUGENE LONG, PA-C
ActiveMR. KEITH EUGENE LONG, PA-C is a Physician Assistant healthcare provider located in MADRAS, Oregon. NPI 1467407122 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MADRAS, OR
Registration Details
- NPI Number
- 1467407122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.04602271907 yrs)
- Last Updated
- Jul 9, 2007
- License
-
PA00386 (OR)
Practice Information
- Address
-
76 NE 12TH STMADRAS, OR, 977411827Browse OR providers · Browse ZIP 97741
- Phone
- 5414753874
- Fax
- 5414753503
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MADRAS, OR
| Name | Credential | NPI |
|---|---|---|
| MS. ANGELA VETTERICK | PA C | 1093768699 |
| MS. ADALIE CHRISTINE BECKLEY | PA-C | 1972958510 |
| CASSANDRA MARY GRUBER | PA-C | 1821718693 |
| AUBREY MULLINS | — | 1336860758 |
| NICOLETTE LINEA STEVANOVSKI | PA-C | 1639931629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.