Individual
DR. ANDREW DALE PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD19567
OR
207Y00000X
Otolaryngology Physician
MD60381043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080320
—
OR
05
—
8448896
—
WA
Enumeration date
02/22/2006
Last updated
11/04/2024
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