| Doctor Name: | LESLIE REAGAN |
| NPI Number: | 1184045478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L, CLT-LANA |
| License Number: | 1064233 |
| Business Practice Address: | 1700 E 19th St The Dalles, OR - 970583317 |
| Business Phone Number: | 5412967202 |
| Business Fax Number: | |
| Mailing Address: | Po Box 550, WHITE SALMON |
| State: | WA |
| Postal Code: | 986720550 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2014 |
| NPI Last Update Date: | 01/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 1064233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |