Individual
MADELINE VERONICA-JUSTUS REGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5800
(541) 706-5911
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
(541) 706-5273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213376
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812809
—
OR
Enumeration date
05/23/2020
Last updated
09/02/2025
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