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Individual

JAMES KEVIN REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 NE 99TH AVE, SUITE 301, PORTLAND, OR 97220-9428
(503) 963-2707
(503) 963-2802
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD20941
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151150
OR
05
8221152
WA
Enumeration date
08/23/2005
Last updated
12/03/2025
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