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Melissa Long
Peer Specialist in Tigard, Oregon
NPI 1902364755

Melissa Long is a Peer Specialist based in Tigard, OR. Melissa Long practices in Tigard, OR. The NPI Number for Melissa Long is 1902364755 and holds a License No. 000003289 (Oregon).

The current practice location address for Melissa Long is 7110 Sw Fir Loop Ste 160, Tigard, OR and can be reached out via phone at 971-301-3994. You can also correspond with Melissa Long through the mailing address at 7110 SW FIR LOOP STE 160, TIGARD, OR - 97223-8031 (mailing address contact number: 971-301-3994).

Location: 7110 Sw Fir Loop Ste 160, Tigard, OR, 97223-8031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902364755
Provider Name
Melissa Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
7110 Sw Fir Loop Ste 160, Tigard, OR, 97223-8031
Phone Number
971-301-3994
Fax Number
Provider Enumeration Date
03/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7110 Sw Fir Loop Ste 160
City
Tigard
State
Oregon
Zip
97223-8031
Phone Number
971-301-3994
Fax Number
person
Provider Business Mailing Address Details
Address
7110 Sw Fir Loop Ste 160
City
Tigard
State
Oregon
Zip
97223-8031
Phone Number
971-301-3994
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
000003289 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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