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LUIS MICHAEL PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367
(206) 616-4001
Mailing address
4311 11TH AVE NE STE 200, SEATTLE, WA 98105-6367

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
WA
363AS0400X
Surgical Physician Assistant
WA

Other

Enumeration date
08/04/2026
Last updated
08/04/2026
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