| Doctor Name: | ALISSA LONG |
| NPI Number: | 1033548326 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN00173561 |
| Business Practice Address: | 7210 120th Ave Ne Kirkland, WA - 980338100 |
| Business Phone Number: | 3604347682 |
| Business Fax Number: | |
| Mailing Address: | 7210 120th Ave Ne, KIRKLAND |
| State: | WA |
| Postal Code: | 980338100 |
| Phone Number: | 3604347682 |
| Fax Number: | |
| NPI Enumeration Date: | 11/06/2013 |
| NPI Last Update Date: | 11/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0101X |
| License Number: | RN00173561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Women's Health Care, Ambulatory |
| Taxonomy Definition: | |