Individual
DR. CONSTANCE ELDRIDGE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3939 NE HANCOCK ST STE 301, PORTLAND, OR 97212-5321
(503) 287-4426
(503) 284-6051
Mailing address
10117 SE SUNNYSIDE RD # F1217, CLACKAMAS, OR 97015-7708
(503) 740-1971
(503) 284-6051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1070
OR
103TA0400X
Addiction (Substance Use Disorder) Psychologist
T-24-4310
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12322686
CAQH
OR
05
—
500645278
—
OR
Enumeration date
07/18/2007
Last updated
08/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us