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1780773150
REGAN REA
PORTLAND, OR
NPI
1780773150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA00721)
Enumeration Date
2006-10-12
Last Update Date
2012-11-08
Business Address
-- REGAN REA P.A.C
4920 N INTERSTATE AVE
PORTLAND, OR 97217-3653
Phone number: 503-215-3300
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Mailing Address
-- REGAN REA P.A.C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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