Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mark Edward Pennesi, MDPHD

Individual provider Ophthalmology Physician · NPI 1225256274

Dr. Mark Edward Pennesi, MDPHD is an Ophthalmology in Portland, Oregon. Graduated from Baylor College of Medicine in 2004, 22 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
22
Trained at
Baylor College of Medicine
Licensed in
OR
In the registry since
2007
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Practice location Address checks out

3375 SW Terwilliger Blvd Cei
Portland, OR 97239-4146
Phone: (503) 494-8386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD28382 (OR)

Record details

NPI number1225256274
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESMarch 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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