Provider Demographics
NPI:1437301884
Name:FLANAGAN, REGINA SUNSHINE (ND)
Entity Type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:SUNSHINE
Last Name:FLANAGAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28066 S MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OR
Mailing Address - Zip Code:97002-8321
Mailing Address - Country:US
Mailing Address - Phone:503-234-4270
Mailing Address - Fax:
Practice Address - Street 1:28066 S MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OR
Practice Address - Zip Code:97002-8321
Practice Address - Country:US
Practice Address - Phone:503-234-4270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1628175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath