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Contact Information

ANDREA MCCOY, PA-C
530 9TH ST
FLORENCE, OR97439
 Phone: 541-997-7104
 Fax: 541-997-5975
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDREA MCCOY · (Female)

NPI Number 1215922364
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/14/2005
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 0074
  • OR License # PA193753
  • NH Medicaid 30338117
  • NH Medicaid 3074644
  • Other 1555101 MEDICARE PTAN
Hospital affiliation(s)
  • PEACE HARBOR HOSPITAL - (Critical Access)
    400 9TH STREET
    FLORENCE, OR 97439
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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