Individual
KATELYN JOY PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
(541) 242-4585
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 242-4384
(541) 463-2820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10024575
OR
363L00000X
Nurse Practitioner
AP61085962
WA
363LF0000X
Family Nurse Practitioner
AP61085962
WA
Other
Enumeration date
07/24/2020
Last updated
10/23/2025
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