IndividualActive
Sandra Mccoy, DMD
NPI 1730108044 · Periodontics · Portland, OR
Provider details
- NPI number
- 1730108044
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 5845 (OR)
Specialties & taxonomies
Dental Providers
Practice location
10102 Ne Glisan St
Portland, OR 97220-4456
Phone: (503) 257-5959
Fax: (503) 408-1472
Approximate (ZIP-level) locationGet directions
Mailing address
10102 Ne Glisan St
Portland, OR 97220-4456
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.