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Contact Information

CHARLES P REAGAN, MD
1865 THOMPSON ROAD
COOS BAY, OR97420
 Phone: 541-267-7757
 Fax: 541-267-6688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHARLES P REAGAN · (Male)

NPI # 1669575767
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD19027
  • OR Medicaid 165002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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