Individual
DR. JUSTIN D PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Mailing address
1950 NW MYHRE RD FL 3, SILVERDALE, WA 98383-7662
(564) 240-4200
(564) 240-4299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054224
CO
207R00000X
Internal Medicine Physician
256268
NY
207RC0000X
Cardiovascular Disease Physician
Primary
MD60544826
WA
208M00000X
Hospitalist Physician
256268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024975
KAISER COMMERCIAL NUMBER
CO
05
—
2044356
—
WA
05
—
94509719
—
CO
Enumeration date
03/27/2008
Last updated
09/10/2025
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