Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN D PEDERSON, D.P.M.
Active Sole ProprietorRYAN D PEDERSON, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in COOS BAY, Oregon. NPI 1063605384 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · COOS BAY, OR
Registration Details
- NPI Number
- 1063605384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2007 (18.952061638783 yrs)
- Last Updated
- Mar 30, 2020
- License
-
DP151127 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 WOODLAND DRCOOS BAY, OR, 974202099Browse OR providers · Browse ZIP 97420
- Phone
- 5412675151
- Fax
- 5412664506
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in COOS BAY, OR
| Name | Credential | NPI |
|---|---|---|
| LOGAN GULL | DPM | 1528641412 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.