Regan Rea is a Medical in Portland, Oregon. Regan Rea practices all healthcare services and medical treatments related to Medical. The NPI Number for Regan Rea is 1780773150. The last update date is 2012-11-08.
Regan Rea's current location address is 4920 N Interstate Ave, Portland, Oregon. You can contact this provider via phone number 5032153300. The mailing address for Regan Rea is 4920 N Interstate Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Regan Rea |
|---|---|
| Address | 4920 N Interstate Ave, Portland, Oregon |
| Phone Number | 5032153300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.C |
NPI Number Detail
| NPI Number | 1780773150 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2012-11-08 |
Provider Mailing Address Detail
| Address | 4920 N Interstate Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972173653 |
| Phone Number | 5032153300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00721 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67463008 | OR | REGENCE | |
| M0665 17 | PACIFIC SOURCE | ||
| 500604207 | OR | -- | |
| 911019392 | COMMERCIAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Regan Rea?
The Regan Rea has been issued the NPI (National Provider Identifier) 1780773150 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Regan Rea is physically located?
The Regan Rea is situated at the following address: 4920 N Interstate Ave, Portland, OR 972173653.
What is Regan Rea's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Regan Rea is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1780773150 to Regan Rea?
The Centers for Medicare & Medicaid Services assigned the 1780773150 to Regan Rea on 2006-10-12.
When was the information regarding Regan Rea most recently updated?
The details pertaining to the Regan Rea, including its address, specialty, and other relevant information, were last refreshed on 2012-11-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC