Individual
DR. NIELS FREDERIK PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CAPITOL ST NE, SALEM CLINIC PC, SALEM, OR 97301-0644
(503) 399-2424
(503) 375-7451
Mailing address
PO BOX 8100, SALEM, OR 97303
(503) 399-2424
(503) 375-7451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L1163
TX
207Q00000X
Family Medicine Physician
Primary
MD26800
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141304903
—
TX
05
—
240514
—
OR
Enumeration date
01/30/2006
Last updated
08/14/2012
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