Individual
DR. DALLAS D. REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, DNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
100 OVERLOOK TER, #62, NEW YORK, NY 10040-3852
(917) 698-3688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201403680CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201909433CRNA-PP
OR
Other
Enumeration date
08/13/2006
Last updated
02/21/2023
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