Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laurel Long, PA-C

Individual provider Behavior Technician · NPI 1003674714

Laurel Long, PA-C is a Physician Assistant in Beaverton, Oregon. Qualified in 2024, 2 years ago. Practices with Uptown Providers PC, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14278 SW Allen Blvd
Beaverton, OR 97005-4405
Phone: (503) 305-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312 — (855) 772-8847

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA22399 (OR)
Behavior Technician Taxonomy 106S00000X · Licence ABA-IN-10241615 (OR)

Record details

NPI number1003674714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 7, 2024
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address8060 Sw Pfaffle St Ste 106, Tigard, OR 97223-8489

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Uptown Providers Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Beaverton