Individual
DR. BEN LAWRENCE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4104 SE 82ND AVE STE 250, PORTLAND, OR 97266-2954
(503) 215-9850
(503) 215-9855
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD171441
OR
Other
Enumeration date
03/27/2013
Last updated
10/05/2020
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