Individual
MR. OREN EDWIN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(907) 352-2880
(509) 385-0670
Mailing address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(907) 352-2880
(907) 352-2885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60418997
WA
Other
Enumeration date
05/30/2013
Last updated
04/13/2023
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