| Mr Keith Eugene Long, PA-C | |
|
76 Ne 12th St, Madras, OR 97741-1827 | |
| (541) 475-3874 | |
| (541) 475-3503 |
| Full Name | Mr Keith Eugene Long |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 76 Ne 12th St, Madras, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467407122 | NPI | - | NPPES |
| 150563 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00386 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Eugene Long, PA-C 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874 | Mr Keith Eugene Long, PA-C 76 Ne 12th St, Madras, OR 97741-1827 Ph: (541) 475-3874 |
Ms. Angela Vetterick, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 | |
Nicolette Linea Stevanovski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 | |
Joy Elizabeth Light, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Ne A St Ste 100, Madras, OR 97741 Phone: 541-383-3005 Fax: 541-383-1883 | |
Cassandra Mary Gruber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 76 Ne 12th St, Madras, OR 97741 Phone: 541-475-3874 |