Individual
DR. PORFIRIO PENA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
(503) 230-9224
(503) 230-9201
Mailing address
5050 NE HOYT ST, SUITE 203, PORTLAND, OR 97213-2991
(503) 230-9224
(503) 230-9201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15289
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000810
—
OR
Enumeration date
12/26/2006
Last updated
11/27/2007
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