Search › Oregon › 101YM0800X
Aqueelah Bolden-Mccoy, PSS
NPI 1639556962 · on the registry since 2015
Practice
- Address
- 620 Ne 2nd St
Gresham, OR 97030 - Phone
- (971) 274-3757
- Fax
- (503) 912-5740
- Organisation at this address
- Native American Rehabilitation Assoc Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 86
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon