NPI | 1851116974 |
---|---|
Doing Business As | REGENCARE WOUND CARE PROVIDERS PDX |
Entity Type | Organization |
Authorized Contact | HEIDI HAGMAN Medical Director/ Owner 971-910-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-11-22 |
Last Update Date | 2025-05-29 |