Mccoy, Sandra Ann
Mccoy, Sandra Ann is an individual health care provider with primary practice located at 10102 Ne Glisan St , Portland OR 97220-4456. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Mccoy, Sandra Ann can be contacted via phone (503) 257-5959.Contact Information
Primary practice address
10102 Ne Glisan St
Portland OR 97220-4456
Phone: (503) 257-5959
Fax: (503) 408-1472
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 5845 | Oregon |
Profile Details
| NPI number | 1730108044 |
|---|---|
| LBN Legal business name | Mccoy, Sandra Ann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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