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Mr. Kenneth D Long
Physician Assistant in Prineville, Oregon
NPI 1982605911

Kenneth D Long is a Physician Assistant based in Prineville, OR. Kenneth D Long practices in Prineville, OR. The NPI Number for Kenneth D Long is 1982605911 and holds a License No. PA00535 (Oregon).

The current practice location address for Kenneth D Long is 1251 Ne Elm St, Prineville, OR and can be reached out via phone at 541-447-1680 and via fax at 541-447-4670. You can also correspond with Kenneth D Long through the mailing address at 1251 NE ELM ST, PRINEVILLE, OR - 97754 (mailing address contact number: 541-447-1680).

Location: 1251 Ne Elm St, Prineville, OR, 97754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982605911
Provider Name
Kenneth D Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
1251 Ne Elm St, Prineville, OR, 97754
Phone Number
541-447-1680
Fax Number
541-447-4670
Provider Enumeration Date
08/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13503 01 CLEAR CHOICE
93071013397754A001 01 TRICARE WEST
9700113590 01 RAILROAD MEDICARE
GRP331 01 PROVIDENCE HEALTH PLANS
H3079 01 PACIFIC SOURCE
13503 01 COIHS
205625 05 OR
institution
Provider Business Practice Location Address Details
Address
1251 Ne Elm St
City
Prineville
State
Oregon
Zip
97754
Phone Number
541-447-1680
Fax Number
541-447-4670
person
Provider Business Mailing Address Details
Address
1251 Ne Elm St
City
Prineville
State
Oregon
Zip
97754
Phone Number
541-447-1680
Fax Number
541-447-4670
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA00535 (Oregon)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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