Individual
REGAN REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C
Contact information
Practice address
4920 N INTERSTATE AVE, PORTLAND, OR 97217-3653
(503) 215-3300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00721
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067463008
REGENCE
OR
05
—
500604207
—
OR
01
—
911019392
COMMERCIAL
—
01
—
M0665 17
PACIFIC SOURCE
—
Enumeration date
10/12/2006
Last updated
11/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us