Individual
MRS. PATRICIA JEAN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD, LD
Contact information
Practice address
72 SE 47TH CIR, GRESHAM, OR 97080-6403
(503) 926-4647
Mailing address
72 SE 47TH CIR, GRESHAM, OR 97080-6403
(503) 926-4647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
819
OR
133V00000X
Registered Dietitian
D100001708
WA
Other
Enumeration date
11/11/2008
Last updated
08/12/2011
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