Regal Healthcare, LLC

NPI #1396431797 in Beaverton, Oregon

Provider Information

NPI Number: 1396431797
Entity Type: Organization
Organization Name: Regal Healthcare, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 18, 2023
Last Updated: Apr 5, 2024

Practice Location

Address: 14125 SW FARMINGTON RD STE B
City: Beaverton
State: Oregon
ZIP Code: 97005-2567
Phone: (503) 519-9810

Authorized Official

Name: MR. DAVID ALLEN MACKLEY
Title: OWNER/MANAGER
Phone: (503) 519-9810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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