Provider Demographics
NPI:1265281083
Name:MCCOY, MORGAN SKYE
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:SKYE
Last Name:MCCOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 NE ONEONTA ST APT 203
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-4046
Mailing Address - Country:US
Mailing Address - Phone:971-533-2632
Mailing Address - Fax:
Practice Address - Street 1:923 NW GRANT AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-4503
Practice Address - Country:US
Practice Address - Phone:541-557-1892
Practice Address - Fax:267-364-8091
Is Sole Proprietor?:No
Enumeration Date:2024-05-14
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health