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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH D LONG
NPI 1982605911
Physician Assistant in Prineville, OR

Active since August 01, 2005
1251 NE ELM ST, PRINEVILLE, OR 97754(541) 447-1680(541) 447-4670 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth D Long NPPES

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

MR. KENNETH D LONG (NPI 1982605911) is an individual physician assistant in Prineville, Oregon, licensed in Oregon (PA00535) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1982605911
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH D LONG
Location Address1251 NE ELM STPrineville, OR 97754
Mailing Address1251 Ne Elm StPrineville, OR 97754 · (541) 447-1680 · Fax (541) 447-4670
Phone(541) 447-1680
Fax(541) 447-4670
Sole ProprietorNo
Enumeration DateAugust 1, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1982605911 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 · PA00535
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.
1251 NE ELM ST, Prineville, OR 97754
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Other Identifiers 7

Other13503Clear Choice
Other93071013397754A001Tricare West
Other9700113590Railroad Medicare
OtherGRP331Providence Health Plans
OtherH3079Pacific Source
Other13503Coihs
Medicaid205625OR

Other Providers at the Same Location NPPES 19

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

ANDREA TAVARES CUNHA MA
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
MR. KENNETH W SMITH P.T.
Physical Therapist
1251 NE ELM ST, STE 2-A
PRINEVILLE, OR 97754
Crook County (541) 447-6846
CYNTHIA STIDD LCSW
Social Worker (Clinical)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
KATIE MORRISON
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
KARIANNE CLARK
Social Worker
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (800) 598-3345
ROENTGEN SERVICES, LLC
Technician, Other
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 447-1008
MRS. COURTNEY ANNE PARCHMON LPC, CADCI
Counselor (Mental Health)
1251 NE ELM ST
PRINEVILLE, OR 97754
Crook County (541) 323-5330

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 Kenneth Long's NPI number?

The NPI number for Kenneth Long is 1982605911. It was assigned to this individual provider in the NPPES registry on August 1, 2005.

Where is Kenneth Long located?

Kenneth Long practices at 1251 NE Elm St, Prineville, OR 97754. The listed phone number is (541) 447-1680.

What is Kenneth 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 Kenneth Long was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.