Individual
FRIDA RINETH PENA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 NE BLAKELY DR STE 5010, ISSAQUAH, WA 98029-6201
(425) 394-0700
(425) 394-0701
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
BC60249837
WA
207Q00000X
Family Medicine Physician
Primary
MD60242838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014817
—
WA
Enumeration date
07/30/2008
Last updated
02/23/2026
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