Heather Beth Long, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD151090 Issued in OR

Practice address

15970 SE Misty Dr Ste 100
Happy Valley, OR 97086-4368

Phone

(503) 427-2637

Fax

(503) 659-8984

NPI assigned

Jul 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 9, 2021 through Aug 9, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hlong23951@direct.lhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oregon Pediatrics - Happy Valley, PC

  • Pediatrics Physician
  • Happy Valley, OR
  • NPI 1669794541
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1194923862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 NW 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092564",
            "telephone_number": "913-219-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15970 SE MISTY DR STE 100",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864368",
            "telephone_number": "503-427-2637",
            "fax_number": "503-659-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "HEATHER",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2007017298",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD151090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500624770",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sehyun Lee
• Leonard L Leimbach, PA
• Brandon Leonard, MSW
• Allen Li
• Douglas Ronald Lincoln III, MD, MPH
• Alison Bowen Lord, CADC CANDIDATE, B.A.
• Asma L Love, MD
• Kimberly Lowery, PWS
• Tim Ludeman, LPC, MA
• Luna Healthcare LLC (Luna Family Hearing)

• Pediatrics Physician in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.