Mccoy, Gregory Buel

Mccoy, Gregory Buel is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 535, Portland OR 97210-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mccoy, Gregory Buel can be contacted via phone (503) 297-4999.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ste 535 Portland OR 97210-2900
Phone: (503) 297-4999
Fax: (503) 796-9884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD13218 Oregon

Profile Details

NPI number 1447247416
LBN Legal business name Mccoy, Gregory Buel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Oct 6th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447247416 NPPES
Other A008 TRICARE
Other C91743 TRICARE
Other 003395008 TRICARE
Other 930766376 TRICARE
MEDICAID 7858004 TRICARE
MEDICAID 1040765 TRICARE
MEDICAID 109371 TRICARE
Other 930766376 TRICARE
Other M677A TRICARE
MEDICAID 180133 TRICARE
Other 003395000 TRICARE
Other 128281 TRICARE
Other 0079880 TRICARE

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