Individual
REGAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-6916
Mailing address
520 NW WALL ST, BEND, OR 97703-2608
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
515778
OR
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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