Organization
REGAL HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALLEN MACKLEY (OWNER/MANAGER)
(503) 519-9810
Entity
Organization
Contact information
Practice address
14125 SW FARMINGTON RD STE B, BEAVERTON, OR 97005-2567
(503) 519-9810
(703) 977-3863
Mailing address
17894 SW RICHARD CT, ALOHA, OR 97007-3913
(503) 519-9810
(703) 977-3863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/05/2024
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