Regal Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGAL HEALTHCARE, LLC

Practice address

14125 SW Farmington Rd Ste B
Beaverton, OR 97005-2567

Phone

(503) 519-9810

Fax

(703) 977-3863

NPI assigned

Apr 18, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Allen Mackley

Title

Owner/Manager

Phone

(503) 519-9810

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zubaida Abdulai Mackley, FNP

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1841737889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1396431797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17894 SW RICHARD CT",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970073913",
            "telephone_number": "503-519-9810",
            "fax_number": "703-977-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 SW FARMINGTON RD STE B",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052567",
            "telephone_number": "503-519-9810",
            "fax_number": "703-977-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MACKLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-519-9810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Reeber
• Lola Reed
• Sandra Meacham Reed, M.D.
• Sara Reed
• Roxanne M Reese
• Fiker Regassa
• Jaclyn R Regis, LMT
• Stephen C Regner, LCSW
• Rehoboth Treatment Home LLC
• Rehoboth Treatment Home LLC

• Family Medicine Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.