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).
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 |
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 |
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 |
Street Address |
812 NW 12TH ST |
City | PENDLETON |
State | OR |
Zip Code | 97801 |
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 |
Find all providers in zip 97801 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
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. |
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 |
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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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.