Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Luis Michael Pena, PA

Individual provider Surgical Physician Assistant · NPI 1720901762

Luis Michael Pena, PA is a Surgical Physician Assistant in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2026.

Licensed in
WA
In the registry since
2026
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone: (206) 616-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (WA)
Surgical Physician Assistant Taxonomy 363AS0400X (WA)

Record details

NPI number1720901762
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 4, 2026
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367

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