SearchOregon225700000X

Terra Long, LMT

NPI 1215403035 · on the registry since 2018 · sole proprietor

Practice

Address
6685 W Burnside Rd Unit 313
Portland, OR 97210
Phone
(405) 802-2340

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon