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NPI 1164100830

IndividualActive

Ajamu Mccoy, MA

NPI 1164100830 · Nurse's Aide · Newport, OR

Provider details

NPI number: 1164100830
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Credential: MA
Sex: Male
Sole proprietor: Yes

Practice location

36 Sw Nye St

Newport, OR 97365-3821

Phone: (541) 265-0445

More OR providers

Mailing address

36 Sw Nye St

Newport, OR 97365-3821

Registry dates

Enumerated: 2023-07-11
Last updated: 2023-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ajamu Mccoy, MA — NPI 1164100830, Newport, OR | NPI Central