MR. ROBERT WAYNE LONG CDP
NPI 1508908880
Specialist in Bonney Lake, WA

Active since February 13, 2007
10215 214TH AVE E, BONNEY LAKE, WA 98391(253) 862-7374(253) 862-0448 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Robert Wayne Long Cdp NPPES

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

MR. ROBERT WAYNE LONG CDP (NPI 1508908880) is an individual specialist in Bonney Lake, Washington, licensed in Washington (CP00002606) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1508908880
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. ROBERT WAYNE LONGCredential: CDP
Location Address10215 214TH AVE EBonney Lake, WA 98391-3909
Mailing Address10215 214th Ave EBonney Lake, WA 98391-3909 · (253) 862-7374 · Fax (253) 862-0448
Fax(253) 862-0448
Sole ProprietorYes
Enumeration DateFebruary 13, 2007
Last NPPES UpdateFebruary 28, 2013
NPI 1508908880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · CP00002606
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10215 214TH AVE E, Bonney Lake, WA 98391

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
10215 214TH AVE E
BONNEY LAKE, WA 98391
Clinic/Center (Rehabilitation, Substance Use Disorder)
10215 214TH AVE E
BONNEY LAKE, WA 98391
Counselor (Addiction (Substance Use Disorder))
10215 214TH AVE E
BONNEY LAKE, WA 98391
Counselor (Addiction (Substance Use Disorder))
10215 214TH AVE E
BONNEY LAKE, WA 98391

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 Robert Long's NPI number?

The NPI number for Robert Long is 1508908880. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Robert Long located?

Robert Long practices at 10215 214th Ave E, Bonney Lake, WA 98391. The listed phone number is (253) 862-7374.

What is Robert Long's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Robert Long was last updated on February 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.