| Mr Shane Patrick Long, MA | |
|
Kaiser Sunnyside Medical Office, 10180 Se Sunnyside Rd, Clackamas, OR 97015-9764 | |
| (503) 571-1995 | |
| Not Available |
| Full Name | Mr Shane Patrick Long |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | Kaiser Sunnyside Medical Office, Clackamas, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275640831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3249 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane Patrick Long, MA 10180 Se Sunnyside Road, Clackamas, OR 97015-9303 Ph: () - | Mr Shane Patrick Long, MA Kaiser Sunnyside Medical Office, 10180 Se Sunnyside Rd, Clackamas, OR 97015-9764 Ph: (503) 571-1995 |
Emily Marie Ketola, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015 Phone: 503-794-3830 Fax: 503-794-3850 | |
Mrs. Rachel Lela Cochenour, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4122 | |
Roxanne Marie Jackson, MSW, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 480, Clackamas, OR 97015 Phone: 503-739-8321 | |
Ms. Shirley Nord, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4757 Fax: 503-571-8342 | |
Mrs. Riley Anne Carroll, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Ms. Starla Sue Mccullar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Social Work, Clackamas, OR 97015 Phone: 503-571-4750 | |
Mr. Johnny Corrace Walker, M.S.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015 Phone: 503-653-3451 |