Mrs Patricia Jean Regan, MS, RD, CD, LD | |
72 Se 47th Cir, Gresham, OR 97080-6403 | |
(503) 926-4647 | |
Not Available |
Full Name | Mrs Patricia Jean Regan |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 72 Se 47th Cir, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104070663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 819 (Oregon) | Primary |
133V00000X | Dietitian, Registered | D100001708 (Washington) | Secondary |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Mrs Patricia Jean Regan, MS, RD, CD, LD 72 Se 47th Cir, Gresham, OR 97080-6403 Ph: (503) 926-4647 | Mrs Patricia Jean Regan, MS, RD, CD, LD 72 Se 47th Cir, Gresham, OR 97080-6403 Ph: (503) 926-4647 |
Jane Sayner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-457-8565 | |
Amanda Michele Hinojosa, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9500 | |
Mr. Tyrell Anthony Comeaux, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1275 | |
Ms. Chelsea Elizabeth Horvath, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080 Phone: 484-274-5739 | |
Noelle Fein, MS,RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 23335 Se Stark St, Gresham, OR 97030 Phone: 503-465-0424 | |
Nw Dietitian Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2455 Ne Juniper Ave, Gresham, OR 97030 Phone: 503-756-4191 |