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1497800635
TIMOTHY C. MCCOY
PORTLAND, OR
NPI
1497800635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- TIMOTHY C. MCCOY QMHA
2034 SE DIVISION
PORTLAND, OR 97214
Phone number: 503-238-6801
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Mailing Address
-- TIMOTHY C. MCCOY QMHA
6212 SE 91ST AVE
PORTLAND, OR 97266-5212
Phone number: 503-703-8683
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