Whalio Doctors

NPI 1194090399

Christopher Jay Longaker, MD

Practitioner Colon & Rectal Surgery Physician Portland, OR

Practice location

Address
12235 NW Big Fir Cir, Portland, OR 97229-3903
Phone
(503) 644-2934

Registered specialties

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD10104 (OR)

Registry record

NPI
1194090399
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Mar 2012
Record last updated
21 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.