Individual provider · Type 1 NPI

Regan William Polk, PA-C

Surgical Physician Assistant · Bend, OR

NPI number 1407546294 Active

Practice location

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281

Fax (541) 382-1681

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA218998 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1407546294

Regan William Polk, PA-C's National Provider Identifier is 1407546294, issued on May 15, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bend, OR. The record was last updated on Feb 27, 2025.