Individual
DR. MARLENE PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 MINOR AVE, 3RD FLOOR, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Mailing address
515 MINOR AVE, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 576-3802
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
68453341205
UT
207KA0200X
Allergy Physician
Primary
MD60102678
WA
2080P0201X
Pediatric Allergy/Immunology Physician
46653
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024PE
REGENCE
WA
01
—
256768
LNI
WA
05
—
34622400
—
WI
05
—
8560427
—
WA
Enumeration date
08/19/2006
Last updated
06/23/2021
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