Individual
REGINA RACHAEL HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THW
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(971) 328-2754
Mailing address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(971) 328-2754
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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