MEDICARE: LETISHA MCCOY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist		OR
2	374J00000X	Doula		OR

General Provider Information

NPI Number	:	1437000825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETISHA MCCOY

Provider Business Mailing Address
First Line	:	1087 SW DOTTIE CT
Second Line	:
City	:	TROUTDALE
State	:	OR
Zip	:	97060-1215
Country	:	US
Telephone Number	:	971-512-6022
Fax Number	:

Provider Business Practice Location Address
First Line	:	4805 NE GLISAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2933
Country	:	US
Telephone Number	:	971-512-6022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/07/2026

Similar Medicare Providers

1942634134 — CHRISTINA S HOPPE PSYD
Practice Location Address:

4805 NE GLISAN ST STE 6N40
PORTLAND, OR
97213-2933

Practice Phone: 503-215-7230
Practice Fax:

1255337572 — JOHN F ZURASKY MD
Practice Location Address:

4805 NE GLISAN ST , STE 3G37
PORTLAND, OR
97213-2933

Practice Phone: 503-215-6335
Practice Fax:

1992704878 — RICHARD BRYAN BELL MD, DDS
Practice Location Address:

4805 NE GLISAN ST STE 11N
PORTLAND, OR
97213-2933

Practice Phone: 503-215-3053
Practice Fax:

1477552305 — JESSICA GILBERTSON HITCHCOCK MD
Practice Location Address:

4805 NE GLISAN ST , E3
PORTLAND, OR
97213-2933

Practice Phone: 503-284-8841
Practice Fax: 503-282-3302

1669472775 — BRENDAN CARGILL CARROLL MD
Practice Location Address:

4805 NE GLISAN ST , UNIT 3K
PORTLAND, OR
97213-2933

Practice Phone: 503-215-6150
Practice Fax:

1861494650 — BRENDAN DAVID CURTI MD
Practice Location Address:

4805 NE GLISAN ST , 6N40
PORTLAND, OR
97213-2933

Practice Phone: 530-215-5696
Practice Fax: 503-215-5695

Directions to “ LETISHA MCCOY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.