| NPI | 1295902336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C REGAN Dentist 503-654-8283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 6536) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2021-05-12 |