Pedersen, Niels Frederik

Pedersen, Niels Frederik is an individual health care provider with primary practice located at 2020 Capitol St Ne Salem Clinic Pc, Salem OR 97301-0644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pedersen, Niels Frederik can be contacted via phone (503) 399-2424.

Contact Information

Primary practice address
2020 Capitol St Ne Salem Clinic Pc Salem OR 97301-0644
Phone: (503) 399-2424
Fax: (503) 375-7451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L1163 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD26800 Oregon

Profile Details

NPI number 1740251537
LBN Legal business name Pedersen, Niels Frederik
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740251537 NPPES
Texas MEDICAID 141304903
Texas MEDICAID 240514

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