IndividualActive
Laurel Long, PA-C
NPI 1003674714 · Physician Assistant · Beaverton, OR
Provider details
- NPI number
- 1003674714
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- ABA-IN-10241615 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14278 Sw Allen Blvd
Beaverton, OR 97005-4405
Phone: (503) 305-6262
Street-level locationGet directions
Mailing address
8060 Sw Pfaffle St Ste 106
Tigard, OR 97223-8489
Additional practice locations (1)
- 27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312Phone: (855) 772-8847
Registry dates
- Enumerated
- 2024-03-07
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.