Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT WAYNE LONG, CDP
Active Sole ProprietorMR. ROBERT WAYNE LONG, CDP is a Specialist healthcare provider located in BONNEY LAKE, Washington. NPI 1508908880 is currently active in the NPPES registry. Verify at CMS.
Specialist · BONNEY LAKE, WA
Registration Details
- NPI Number
- 1508908880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.475059482727 yrs)
- Last Updated
- Feb 28, 2013
- License
-
CP00002606 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10215 214TH AVE EBONNEY LAKE, WA, 983913909Browse WA providers · Browse ZIP 98391
- Phone
- 2538627374
- Fax
- 2538620448
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BONNEY LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| KELLY L BOUNTING | — | 1063542470 |
| AMANDA WILSON | LMP | 1043341589 |
| MS. SHEILA M WILEY | LMP | 1992915037 |
| MARY ELLEN PFEIFFER | B.A., L.M.P. | 1316158108 |
| LISA LYN BARRIENTOS-HAASE | LMP | 1568658508 |
| MELANIE MOELLER | LMP | 1063653277 |
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.