Individual
DARREN JAMAAL MCCOY-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 SE BAKER ST, MCMINNVILLE, OR 97128-6808
(503) 883-2213
Mailing address
3309 AQUARIUS BLVD APT A, NEWBERG, OR 97132-2179
(503) 476-5941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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