Pena, Zachary G

Pena, Zachary G is an individual health care provider with primary practice located at 10151 Se Sunnyside Rd Ste 240 , Clackamas OR 97015-5774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pena, Zachary G can be contacted via phone (503) 962-1840.

Contact Information

Primary practice address
10151 Se Sunnyside Rd Ste 240 Clackamas OR 97015-5774
Phone: (503) 962-1840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD182288 Oregon

Profile Details

NPI number 1538592399
LBN Legal business name Pena, Zachary G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2013
Last updated Mar 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538592399 NPPES
Oregon MEDICAID 500673056

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