Individual provider · Type 1 NPI

Luis Michael Pena, PA

Medical Physician Assistant · Seattle, WA

NPI number 1720901762 Active

Practice location

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1720901762

Luis Michael Pena, PA's National Provider Identifier is 1720901762, issued on Aug 4, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on Aug 4, 2026.