Individual provider · Type 1 NPI

Sophia Pena

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1104752807 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (503) 494-8428 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104752807

Sophia Pena's National Provider Identifier is 1104752807, issued on Jun 20, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2026.