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Contact Information

ZACHARY G PENA, MD
10151 SE SUNNYSIDE RD STE 240
CLACKAMAS, OR97015-5774
 Phone: 503-962-1840
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ZACHARY G PENA · (Male)

NPI # 1538592399
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2013
Last updated 03/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD182288
  • OR Medicaid 500673056
Hospital affiliation(s)
  • PROVIDENCE MILWAUKIE HOSPITAL - (Acute Care)
    10150 SE 32ND AVENUE
    MILWAUKIE, OR 97222
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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