Individual
MR. FRANCISCO JAVIER PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-8311
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(541) 882-6311
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2018
Last updated
07/25/2019
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