Sheppard, Regan A
Sheppard, Regan A is an sole proprietor health care provider with primary practice located at 810 E Jackson St Suite 200, Medford OR 97504-6773. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Sheppard, Regan A can be contacted via phone (360) 224-0110.Contact Information
Primary practice address
810 E Jackson St Suite 200
Medford OR 97504-6773
Phone: (360) 224-0110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | T0776 | Oregon |
Profile Details
| NPI number | 1699819748 |
|---|---|
| LBN Legal business name | Sheppard, Regan A |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | May 5th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699819748 | NPPES |
| Washington | Other | RC00053311 | REGISTERED COUNSELOR |
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