| Thomas Howard Long, MD | |
|
12501 E Marginal Way S Ste 130, Tukwila, WA 98168-5163 | |
| (509) 892-2700 | |
| (509) 892-2740 |
| Full Name | Thomas Howard Long |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 12501 E Marginal Way S Ste 130, Tukwila, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871933739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | MD6088832 (Washington) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD6088832 (Washington) | Primary |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Howard Long, MD 1959nepacific St, Seattle, WA 98195-0001 Ph: (541) 408-5216 | Thomas Howard Long, MD 12501 E Marginal Way S Ste 130, Tukwila, WA 98168-5163 Ph: (509) 892-2700 |
Jing Du, MB,MMS Pathology Medicare: Medicare Enrolled Practice Location: 12501 E Marginal Way S Ste 200, Tukwila, WA 98168 Phone: 253-426-6720 | |
Christin M. Lepus, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12501 E Marginal Way S, Tukwila, WA 98168 Phone: 206-576-6050 | |
Dr. Daniel F Brown, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12501 E Marginal Way S Ste 200, Tukwila, WA 98168 Phone: 206-576-6050 | |
Dr. Mingkui Chen, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12501 E Marginal Way S Ste 200, Tukwila, WA 98168 Phone: 206-576-6053 | |
Byung Kyu Kim, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 12501 E Marginal Way S Ste 200, Tukwila, WA 98168 Phone: 206-576-6050 | |
Kathryn Christofersen, DO Pathology Medicare: Medicare Enrolled Practice Location: 200 Andover Park E Ste 8, Tukwila, WA 98188 Phone: 206-575-3136 |