NPI 1649283334

Robert Gene Long, LMP

Practitioner Contractor Bellevue, WA

Practice location

Address: 1899 -116th Ave NE, Bellevue, WA 98004
Phone: (425) 451-0404
Fax: (425) 462-8919
Mailing address: 7805 192nd Pl SW, Edmonds, WA 98026-6122

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA00017176 (WA)

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Registry record

NPI: 1649283334
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2006
Record last updated: 8 Jul 2007

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.