NPI 1154708667

Leon McCoy

Practitioner Peer Specialist Tigard, OR

Practice location

Address: 7582 SW Hunziker St 44, Tigard, OR 97223-8222
Phone: (503) 758-0376

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1154708667
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2015
Record last updated: 4 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.