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PAMELA DIAN LONG PA
NPI 1104022185
Physician Assistant in Milwaukie, OR

Active since June 26, 2007PECOS Enrolled
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222(971) 206-5179(503) 905-0495 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pamela Dian Long Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA DIAN LONG PA (NPI 1104022185) is an individual physician assistant in Milwaukie, Oregon, licensed in Oregon (PA00611) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104022185
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAMELA DIAN LONGCredential: PA
Location Address4560 SE INTERNATIONAL WAY STE 100Milwaukie, OR 97222-4628
Mailing Address4560 Se International Way Ste 100Milwaukie, OR 97222-4628 · (971) 206-5179
Phone(971) 206-5179
Fax(503) 905-0495
Sole ProprietorNo
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
✔ NPI 1104022185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA00611
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00611 (OR)
4560 SE INTERNATIONAL WAY STE 100, Milwaukie, OR 97222
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Other Identifiers 1

Medicaid500640462OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela Dian Long Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY MCCOY
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5202
DR. AVIVA ZIGMAN MD
General Practice
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5164
MRS. MARLA E. STASIK NP
Nurse Practitioner (Adult Health)
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 712-6863
LACIE FERRIS PTA
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5237
KAREN ELAINE BISHOP COTA
Occupational Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (800) 891-7575
ELYSS I FRISBEE CCC-SLP
Speech-Language Pathologist
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (541) 771-3066
MS. LESLIE KAREN FITZGERALD P.A.
Physician Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (971) 206-5179
PHILLIP CLARK PTA
Physical Therapy Assistant
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222
Clackamas County (812) 870-9822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Long's NPI number?

The NPI number for Pamela Long is 1104022185. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Pamela Long located?

Pamela Long practices at 4560 SE International Way Ste 100, Milwaukie, OR 97222. The listed phone number is (971) 206-5179.

What is Pamela Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pamela Long enrolled in Medicare?

Yes. Pamela Long is registered in the Medicare PECOS enrollment system.

What insurance does Pamela Long accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Pamela Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pamela Long was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.