Individual provider · Type 1 NPI

Francisco Javier Pena, PA

Surgical Physician Assistant · Portland, OR

NPI number 1710479720 Active

Practice location

2730 SW Moody Ave
Portland, OR 97201-5042

Mailing address

2865 Daggett Ave
Klamath Falls, OR 97601-1106

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1710479720

Francisco Javier Pena, PA's National Provider Identifier is 1710479720, issued on Jun 5, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jul 25, 2019.