Individual
REGINA S. WON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24800 SE STARK ST FL 3, LEGACY MEDICINE INPATIENT SERVICE, GRESHAM, OR 97030
(503) 674-1122
Mailing address
24800 SE STARK ST FL 3, LEGACY MEDICINE INPATIENT SERVICE, GRESHAM, OR 97030-3378
(503) 674-1122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD161903
OR
207RI0200X
Infectious Disease Physician
Primary
MD161903
OR
207RI0200X
Infectious Disease Physician
MD60490733
WA
Other
Enumeration date
06/22/2007
Last updated
05/15/2018
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