Individual
KATHY V. REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
(503) 624-9610
Mailing address
4450 CHAPMAN WAY, LAKE OSWEGO, OR 97035-5559
(503) 684-9274
(503) 624-9610
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4235
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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