JESSICA SUZANNE PEDERSEN


Address: 812 Nw 12th St, Pendleton, OR 97801
Phone: 5413108572

JESSICA SUZANNE PEDERSEN (NPI# 1073995429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073995429
Entity Type Individual
Full Name JESSICA SUZANNE PEDERSEN
Credential LMT
Practice Address 812 Nw 12th St
Pendleton
OR 97801
Mailing Address 812 Nw 12th St
Pendleton
OR 97801-1232
Practice Telephone 5413108572
Mailing Telephone 5413108572
Enumeration Date 2015-06-22
Last Update Date 2018-09-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225700000X Massage Therapist 20139 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225700000X Massage Therapist 60540879 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JESSICA PEDERSEN

NPI Name Taxonomy Address Enumeration
1346852688 Jessica Lynn Pedersen Occupational Therapist 200 1st St Sw, Rochester, MN 55905-0002 2020-08-18
1992144687 Jessica Anna Pedersen Pediatrics 1877 N Getty St, North Muskegon, MI 49445-8563 2013-06-17
1457660011 Jessica Lyn Pedersen Massage Therapist 152 N Wellwood Ave, Suite 5, Lindenhurst, NY 11757-4046 2010-09-30
1952448631 Jessica Pedersen Occupational Therapist 345 E Superior St, Chicago, IL 60611-2654 2007-01-31
1659323541 Jessica Leigh Pedersen Nurse Practitioner 325 Maine St, Lawrence, KS 66044-1360 2006-05-17

Office Location

Street Address 812 NW 12TH ST
City PENDLETON
State OR
Zip Code 97801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720637119 Yvonne Walker Technician 821 Se 9th St, Pendleton, OR 97801 2019-09-09
1083262703 Praxis Medical Group Inc Family Medicine 2450 Sw Perkins Avenue, Pendleton, OR 97801 2019-08-27
1255826012 Cosmas Chukwuemeka Nwerem Jr. Pharmacist 1900 Sw Court Place, Pendleton, OR 97801 2018-06-25
1689166811 Helene Danielle Kuhn Counselor 4700 Nw Pioneer Pl, Pendleton, OR 97801 2018-06-04
1801302849 Shawna L. All Massage Therapist 24 Se Emigrant Ave., Pendleton, OR 97801 2017-12-27
1033649256 Sean Collins Pharmacist 203 Sw 20th St, Pendleton, OR 97801 2017-06-20
1073974796 Channon M Baker Peer Specialist 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 2016-03-08
1689034357 Carre Biegel Counselor 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 2016-02-24
1861736373 Christina Northern Northerhn Social Worker 331 Se 2nd Street, Pendleton, OR 97801 2012-11-21
1083962435 James Denton Ward Obstetrics & Gynecology 3001 St Anthony Way Ste 205, Pendleton, OR 97801 2012-08-16
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801302849 Shawna L. All Massage Therapist 24 Se Emigrant Ave., Pendleton, OR 97801 2017-12-27
1437546298 Michael Thomas Rexford Jr. Massage Therapist 2255 Se Court Ave, Pendleton, OR 97801-3301 2015-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063013712 Gabriel Henriques Massage Therapist 805 Se Peacock Ln, Portland, OR 97214-3278 2020-11-07
1871193490 Heather R Anderson Massage Therapist 1646 Se Tenino St, Portland, OR 97202-6713 2020-11-01
1770183048 Anna Schenk Massage Therapist 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 2020-10-27
1205435716 Michella Onnis Massage Therapist 2410 Se 10th Ave, Portland, OR 97214-4624 2020-10-26
1194324269 Puanani Reid Massage Therapist 280 E Hersey St Ste B17, Ashland, OR 97520-1293 2020-10-20
1720686488 Olivia Berryessa Massage Therapist 709 N Phoenix Rd, Medford, OR 97504-9488 2020-10-15
1548868466 Massage Central LLC Massage Therapist 119 S Calapooia St, Sutherlin, OR 97479-8545 2020-10-13
1396343182 Loretta K Bliss Massage Therapist 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 2020-10-13
1982202149 Hannah J Hamel Massage Therapist 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 2020-10-11
1003414269 Carlee Nicole Demore Massage Therapist 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 2020-10-10
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Competitor

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City PENDLETON
Zip Code 97801

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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