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

Mr. Robert Wayne Long, CDP

Individual provider Specialist · NPI 1508908880

Mr. Robert Wayne Long, CDP is a Specialist in Bonney Lake, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

10215 214th Ave E
Bonney Lake, WA 98391-3909
Phone: (253) 862-7374
Fax: (253) 862-0448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence CP00002606 (WA)

Record details

NPI number1508908880
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorYes
NPI enumeratedFebruary 13, 2007
Last updated in NPPESFebruary 28, 2013
Mailing address10215 214th Ave E, Bonney Lake, WA 98391-3909

Other providers in Bonney Lake