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ANTONIO CLIFTON LONG-DREW LPC
NPI 1366936098
Counselor - Mental Health in Estacada, OR

Active since June 16, 2018
478 NW WADE ST, ESTACADA, OR 97023(503) 928-9453 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2018, Jun 16, 2018 (2 updates tracked since 2018).

About Antonio Clifton Long-drew Lpc NPPES

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

ANTONIO CLIFTON LONG-DREW LPC (NPI 1366936098) is an individual mental health provider in Estacada, Oregon, licensed in Oregon (R4884) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1366936098
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameANTONIO CLIFTON LONG-DREWCredential: LPC
Location Address478 NW WADE STEstacada, OR 97023
Mailing Address478 Nw Wade StEstacada, OR 97023-9744 · (503) 928-9453
Phone(503) 928-9453
Sole ProprietorYes
Enumeration DateJune 16, 2018
Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration
✔ NPI 1366936098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R4884
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R4884 (OR)
478 NW WADE ST, Estacada, OR 97023
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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 Antonio Long-drew's NPI number?

The NPI number for Antonio Long-drew is 1366936098. It was assigned to this individual provider in the NPPES registry on June 16, 2018.

Where is Antonio Long-drew located?

Antonio Long-drew practices at 478 NW Wade St, Estacada, OR 97023. The listed phone number is (503) 928-9453.

What is Antonio Long-drew's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Antonio Long-drew was last updated on August 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.