Individual
RYAN PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3134 29TH AVE SE, PUYALLUP, WA 98374-1588
(402) 499-5510
Mailing address
3134 29TH AVE SE, PUYALLUP, WA 98374-1588
(402) 499-5510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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