Individual provider · Type 1 NPI

Regan Rea, P.A.C

Medical Physician Assistant · Portland, OR

NPI number 1780773150 Active

Practice location

4920 N Interstate Ave
Portland, OR 97217-3653

Call (503) 215-3300 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00721 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1780773150

Regan Rea, P.A.C's National Provider Identifier is 1780773150, issued on Oct 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 8, 2012.