# REGAL HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396431797
- **Authorized official:** MR. DAVID ALLEN MACKLEY (OWNER/MANAGER)
- **Authorized official phone:** (503) 519-9810

## Contact information

- **Practice address:** 14125 SW FARMINGTON RD STE B, BEAVERTON, OR 97005-2567
- **Practice address phone:** (503) 519-9810
- **Practice address fax:** (703) 977-3863
- **Mailing address:** 17894 SW RICHARD CT, ALOHA, OR 97007-3913
- **Mailing address phone:** (503) 519-9810
- **Mailing address fax:** (703) 977-3863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 04/05/2024