Individual
LEON MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7582 SW HUNZIKER ST, 44, TIGARD, OR 97223-8222
(503) 758-0376
Mailing address
7582 SW HUNZIKER ST, 44, TIGARD, OR 97223-8222
(503) 758-0376
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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