Individual
JUSTIN MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
838 OVERCUP ST, MEDFORD, OR 97501-1709
(541) 861-1063
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
201142054RN
OR
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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