MR. FRANCISCO JAVIER PENA PA NPI 1710479720

NPI Information

NPI: 1710479720
Provider Name: MR. FRANCISCO JAVIER PENA, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SKY LAKES MEDICAL CENTER INC

PECOS Registration: Yes

Address:
2730 SW MOODY AVE
PORTLAND, OR
ZIP 97201
Phone: (503) 494-8311
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MR. Francisco Javier Pena, PA is a surgical physician assistant in Portland, OR with 5 years of experience. MR. Francisco Javier Pena, PA NPI is 1710479720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

2730 SW MOODY AVE
PORTLAND, OR
ZIP 97201-042
Phone: (503) 494-8311

The NPI 1710479720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 7/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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