Individual
DR. REGINA IDA DEHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
3025 SW CORBETT AVE, NCNM CLINIC, PORTLAND, OR 97201-4858
(503) 552-1966
(503) 226-8133
Mailing address
3025 SW CORBETT AVE, NCNM CLINIC, PORTLAND, OR 97201-4858
(503) 552-1966
(503) 226-8133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00285
OR
175F00000X
Naturopath
Primary
OR ND 0879
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138243
—
OR
Enumeration date
04/10/2007
Last updated
10/14/2013
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