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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY R PEDERSEN, DO

Active

JEFFREY R PEDERSEN, DO is a Family Medicine healthcare provider located in SPOKANE VALLEY, Washington. NPI 1629151428 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SPOKANE VALLEY, WA

Registration Details

NPI Number
1629151428
Provider Type
Individual
Gender
Male
NPI Issued
Oct 23, 2006 (19.813498329691 yrs)
Last Updated
Apr 28, 2021
Licenses
O221 (ID)
OP00001642 (WA)

Practice Information

Address
14402 E SPRAGUE AVE
SPOKANE VALLEY, WA, 992162167
Browse WA providers · Browse ZIP 99216
Phone
5099222625
Fax
5099224001
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SPOKANE VALLEY, WA

Name Credential NPI
LEWIS C WEAVER MD 1285631200
ROBIN L MITCHELL MD 1295732212
GARY T WANDSCHNEIDER MD 1811994833
PHILIP D WOOLF MD 1992702914
DAVID W LITTLE MD 1396743043
DANIEL N OSTRANDER MD 1285632935
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.