Individual
JEFFREY R PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001
Mailing address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
O221
ID
207Q00000X
Family Medicine Physician
Primary
OP00001642
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005518
REGENCE BLUESHIELD
ID
05
—
1043078
—
WA
01
—
129223
WA LABOR & INDUSTRIES
WA
01
—
1301819
DMERC
ID
01
—
805453200
HEALTHY CONNECTIONS
ID
05
—
805453200
—
ID
01
—
S3143
BLUE CROSS
ID
Enumeration date
10/23/2006
Last updated
04/28/2021
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