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SOPHIA PENA
NPI 1104752807
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since June 20, 2026
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8428 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophia Pena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA PENA (NPI 1104752807) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1104752807
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA PENA
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-8428
Phone(503) 494-8428
Sole ProprietorNo
Enumeration DateJune 20, 2026
NPPES CertifiedJune 20, 2026
✔ NPI 1104752807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2730 S MOODY AVE, Portland, OR 97201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESHA MUKHERJEE MSD
Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (502) 531-3763
DANIEL SCOTT KOSKENMAKI
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
SARHA ELENA RUSS
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MARK PUSUNG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
KATHERINE KELLY FOSSETTA PHYSICIAN ASSISTANT
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9645
LAT WIN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
LAUREN THOMPSON
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8311
KAYLA MARIE RORVIG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Pena's NPI number?

The NPI number for Sophia Pena is 1104752807. It was assigned to this individual provider in the NPPES registry on June 20, 2026.

Where is Sophia Pena located?

Sophia Pena practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8428.

What is Sophia Pena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sophia Pena was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.