IndividualActive
David Long, DMD
NPI 1508075599 · Dentist · Portland, OR
Provider details
- NPI number
- 1508075599
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 4247 (OR)
Specialties & taxonomies
Dental Providers
Practice location
6200 Se Milwaukie Ave
Portland, OR 97202-5417
Phone: (503) 235-0054
Fax: (503) 235-7258
Approximate (ZIP-level) locationGet directions
Mailing address
6200 Se Milwaukie Ave
Portland, OR 97202-5417
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.