Individual
JENNIFER ANN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D
Contact information
Practice address
1740 NW MAPLE ST STE 211, ISSAQUAH, WA 98027-8127
(425) 395-0175
Mailing address
9725 3RD AVE NE STE 500, SEATTLE, WA 98115-2024
(206) 527-1200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD60671179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125058610
IL LICENSE NUMBER
IL
Enumeration date
06/28/2010
Last updated
09/03/2019
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