Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristy Regan

Individual provider Social Worker · NPI 1124779442

Kristy Regan is a Clinical Social Worker in Portland, Oregon. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

2901 E Burnside St
Portland, OR 97214-1831
Phone: (503) 953-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2130 Sw Jefferson St Ste 200, Portland, OR 97201-7710 — (971) 266-6910

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence L16422 (OR)
Social Worker Taxonomy 104100000X
Nutritionist Taxonomy 133N00000X

Record details

NPI number1124779442
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2022
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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