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1396431797
REGAL HEALTHCARE, LLC
BEAVERTON, OR
NPI
1396431797
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Entity Type
Organization
Authorized Contact
DAVID ALLEN MACKLEY
Owner/Manager
503-519-9810
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-04-18
Last Update Date
2024-04-05
Business Address
REGAL HEALTHCARE, LLC
14125 SW FARMINGTON RD STE B
BEAVERTON, OR 97005-2567
Phone number: 503-519-9810
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Mailing Address
REGAL HEALTHCARE, LLC
17894 SW RICHARD CT
ALOHA, OR 97007-3913
Phone number: 503-519-9810
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