Individual
DR. PETER RICHARD REGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 DIVISION ST, SUITE 200, OREGON CITY, OR 97045-1581
(503) 650-6880
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD10539
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD10539
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166868
—
OR
01
—
P00838385
RR MEDICARE
OR
Enumeration date
09/13/2006
Last updated
11/12/2021
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