Jessica Suzanne Pedersen, LMT is a
Massage Therapist based in Pendleton, Oregon. Jessica Suzanne Pedersen is licensed to practice in Washington (license number 60540879) and her current practice location is
812 Nw 12th St, Pendleton, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 310-8572.
NPI number for Jessica Suzanne Pedersen is 1073995429 and her current mailing address is 812 Nw 12th St, Pendleton, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073995429.
Healthcare Provider's Profile
Full Name | Jessica Suzanne Pedersen |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 812 Nw 12th St, Pendleton, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073995429
- Provider Enumeration Date: 06/22/2015
- Last Update Date: 09/01/2018
Medical Identifiers
Medical identifiers for Jessica Suzanne Pedersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073995429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 20139 (Oregon) | Secondary |
225700000X | Massage Therapist | 60540879 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Suzanne Pedersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Suzanne Pedersen, LMT 812 Nw 12th St, Pendleton, OR 97801-1232 Ph: (541) 310-8572 | Jessica Suzanne Pedersen, LMT 812 Nw 12th St, Pendleton, OR 97801 Ph: (541) 310-8572 |
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