Individual
JONATHAN PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOS 1119
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPN
HI
Enumeration date
07/26/2006
Last updated
01/06/2026
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