IndividualActive
Kristy Regan
NPI 1124779442 · Clinical Social Worker · Portland, OR
Provider details
- NPI number
- 1124779442
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Nutritionist133N00000X
Dietary & Nutritional Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2901 E Burnside St
Portland, OR 97214-1831
Phone: (503) 953-0310
Street-level locationGet directions
Mailing address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Additional practice locations (1)
- 2130 Sw Jefferson St Ste 200Portland, OR 97201-7710Phone: (971) 266-6910
Registry dates
- Enumerated
- 2022-01-18
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.