Individual
DR. GREGORY BUEL MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, STE 535, PORTLAND, OR 97210-2900
(503) 297-4999
(503) 796-9884
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD13218
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003395000
BLUE CROSS OR ALL
—
01
—
003395008
BLUE CROSS OR ALL
—
01
—
0079880
DEPT OF LABOR A
WA
05
—
1040765
—
WA
05
—
109371
—
OR
01
—
128281
DEPT OF LABOR A
WA
05
—
180133
—
OR
05
—
7858004
—
WA
01
—
930766376
ADVENTIST MEDICAL
—
01
—
A008
TRICARE
—
01
—
C91743
PROVIDENCE HEALTH
—
01
—
M677A
HEALTH NET
—
Enumeration date
10/04/2005
Last updated
10/06/2015
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