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REGAN REA P.A.C
NPI 1780773150
Physician Assistant - Medical in Portland, OR

Active since October 12, 2006
4920 N INTERSTATE AVE, PORTLAND, OR 97217(503) 215-3300 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Regan Rea P.a.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGAN REA P.A.C (NPI 1780773150) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA00721) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1780773150
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameREGAN REACredential: P.A.C
Location Address4920 N INTERSTATE AVEPortland, OR 97217-3653
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 215-3300
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 8, 2012
✔ NPI 1780773150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA00721
4920 N INTERSTATE AVE, Portland, OR 97217
Open in Google Maps ↗

Other Identifiers 7

Medicare UPINP34412
Medicare ID-Type UnspecifiedR109785
Medicaid500604207OR
Other067463008OR · Regence
Medicare ID-Type UnspecifiedP00069863Rr Medicare
Other911019392Commercial
OtherM0665 17Pacific Source

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW J BREEZE MD
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3000
DR. AMELIA RACHEL HAAS BAKER MD, PHD
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
PROVIDENCE HEALTH & SERVICES - OREGON
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
VANESSA ABIGAIL CASILLAS PSY.D.
Psychologist (Clinical)
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
JOHN A YATES MD
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
SYLVIA MARGARET PETERSON-PERRY MD
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
MELISSA KAY BOUCHER DO
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300
DR. DIEGO F DIAZ MD
Family Medicine
4920 N INTERSTATE AVE
PORTLAND, OR 97217
Multnomah County (503) 215-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regan Rea's NPI number?

The NPI number for Regan Rea is 1780773150. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Regan Rea located?

Regan Rea practices at 4920 N Interstate Ave, Portland, OR 97217. The listed phone number is (503) 215-3300.

What is Regan Rea's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Regan Rea was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.