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Regan Rea, PAC
Medical Physician Assistant in Portland, Oregon
NPI 1780773150

Regan Rea is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Regan Rea practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Regan Rea is 1780773150 and holds a License No. PA00721 (Oregon).

The current practice location address for Regan Rea is 4920 N Interstate Ave, Portland, OR and can be reached out via phone at 503-215-3300.

Location: 4920 N Interstate Ave, Portland, OR, 97208-3158
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Provider Profile Details
NPI Number
1780773150
Provider Name
Regan Rea
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
4920 N Interstate Ave, Portland, OR, 97208-3158
Phone Number
503-215-3300
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067463008 01 OR REGENCE
M0665 17 01 PACIFIC SOURCE
500604207 05 OR
911019392 01 COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
4920 N Interstate Ave
City
State
Zip
97217-3653
Phone Number
503-215-3300
Fax Number
person
Provider Business Mailing Address Details
Address
4920 N Interstate Ave
City
State
Zip
97217-3653
Phone Number
503-215-3300
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00721 (Oregon)
Definition
Definition to come...
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