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Mr. Regan William Polk, PA-S
Student in an Organized Health Care Education/Training Program in Bend, Oregon
NPI 1407546294

Regan William Polk is a Student in an Organized Health Care Education/Training Program based in Bend, OR. Regan William Polk practices in Bend, OR and has the professional credentials of PA-S. The NPI Number for Regan William Polk is 1407546294 and holds a License No. (Oregon).

The current practice location address for Regan William Polk is 20781 Ne Comet Ln, Bend, OR and can be reached out via phone at 920-723-7162.

Location: 20781 Ne Comet Ln, Bend, OR, 97701-3402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407546294
Provider Name
Regan William Polk
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
20781 Ne Comet Ln, Bend, OR, 97701-3402
Phone Number
920-723-7162
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20781 Ne Comet Ln
City
Bend
State
Oregon
Zip
97701-3402
Phone Number
920-723-7162
Fax Number
person
Provider Business Mailing Address Details
Address
20781 Ne Comet Ln
City
Bend
State
Oregon
Zip
97701-3402
Phone Number
920-723-7162
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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