IndividualActive
Ryan Penn, PA-C
NPI 1083586499 · Medical Physician Assistant · Puyallup, WA
Provider details
- NPI number
- 1083586499
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3134 29th Ave Se
Puyallup, WA 98374-1588
Phone: (402) 499-5510
Street-level locationGet directions
Mailing address
3134 29th Ave Se
Puyallup, WA 98374-1588
Registry dates
- Enumerated
- 2025-09-23
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.