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Individual

CASEY KENDALL REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 NE HOLLADAY ST STE 1700, PORTLAND, OR 97232-2000
(503) 279-0100
Mailing address
650 NE HOLLADAY ST STE 1700, PORTLAND, OR 97232-2000
(503) 279-0100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/27/2017
Last updated
07/10/2020
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