MICHAEL MCCOY

PORTLAND, OR
NPI1952746398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-12-40)
Enumeration Date2013-04-29
Last Update Date2013-04-29
Business Address
-- MICHAEL MCCOY
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
Mailing Address
-- MICHAEL MCCOY
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number:
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