Individual
VALERIE REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
16414 SE KEYSTONE DR, PORTLAND, OR 97267-5174
(971) 645-5541
Mailing address
PO BOX 68258, PORTLAND, OR 97268-0258
(971) 645-5541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51026400
REGENCE BCBS OREGON
OR
Enumeration date
12/03/2009
Last updated
12/03/2009
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