Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. KEITH EUGENE LONG PA-C
NPI 1467407122
Physician Assistant in Madras, OR

Active since May 23, 2006
76 NE 12TH ST, MADRAS, OR 97741(541) 475-3874(541) 475-3503 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Keith Eugene Long Pa-c NPPES

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

MR. KEITH EUGENE LONG PA-C (NPI 1467407122) is an individual physician assistant in Madras, Oregon, licensed in Oregon (PA00386) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1467407122
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEITH EUGENE LONGCredential: PA-C
Location Address76 NE 12TH STMadras, OR 97741-1827
Mailing Address76 Ne 12th StMadras, OR 97741-1827 · (541) 475-3874 · Fax (541) 475-3503
Fax(541) 475-3503
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1467407122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA00386
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.
76 NE 12TH ST, Madras, OR 97741

Other Identifiers 1

Medicaid150563OR

Other Providers at the Same Location NPPES 10

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

Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Nurse Practitioner (Family)
76 NE 12TH ST
MADRAS, OR 97741
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741
Counselor
76 NE 12TH ST
MADRAS, OR 97741
Family Medicine
76 NE 12TH ST
MADRAS, OR 97741

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 Keith Long's NPI number?

The NPI number for Keith Long is 1467407122. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Keith Long located?

Keith Long practices at 76 NE 12th St, Madras, OR 97741. The listed phone number is (541) 475-3874.

What is Keith Long's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith Long was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.