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WILLIAM BROUGHTON LONG MD NPI 1598735490


NPI Information

NPI: 1598735490
Provider Name: WILLIAM BROUGHTON LONG, MD
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

Address:
501 N GRAHAM
SUITE # 580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Get Directions

William Broughton Long, MD is a trauma surgery surgery in Portland, OR. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. William Broughton Long, MD NPI is 1598735490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N GRAHAM
SUITE # 580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Fax: (503) 528-0708

The enumeration date for this NPI number is 1/24/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0127XSurgeryTrauma SurgeryMD00023470WASHINGTONNo
22086S0127XSurgeryTrauma SurgeryMD13786OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C04229MEDICARE UPIN
2105373MEDICARE ID-TYPE UNSPECIFIEDOREGON
3290536MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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