DR. MARJORIE L PEDERSON (NPI# 1811054497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811054497 |
| Entity Type | Individual |
| Full Name | DR. MARJORIE L PEDERSON |
| Credential | DC |
| Practice Address |
7470 Oak Bay Rd Port Ludlow WA 98365-9445 |
| Practice Telephone | 3604372596 |
| Mailing Telephone | 3604372596 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00003212 | WA | Chiropractic Providers |
| Street Address |
7470 OAK BAY RD |
| City | PORT LUDLOW |
| State | WA |
| Zip Code | 98365-9445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710166483 | John Benjamin Martin | Massage Therapist | 91 Village Way, Pt Ludlow, WA 98365 | 2007-10-30 |
| 1316134919 | Gerald T Brady Chiropractic Professional Corp | Chiropractor | 119 Village Way, Port Ludlow, WA 98365 | 2007-09-27 |
| 1386679777 | Lewis County Hospital District No. 1 | Internal Medicine | 521 Adams Avenue, Morton, WA 98365 | 2006-07-12 |
| 1790168680 | Lauren Corbett Mahan | Behavioral Analyst | 480 Montgomery Lane, Port Ludlow, WA 98365-8052 | 2015-07-09 |
| 1760647762 | Peter Ashley Philips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 N Bay Ln, #1, Port Ludlow, WA 98365-8224 | 2008-07-20 |
| 1538242540 | Michael David Leu | Naturopath | 2965 Paradise Bay Rd, Port Ludlow, WA 98365-8739 | 2006-10-23 |
| 1700869666 | Tracy Ross Gordy | Psychiatry & Neurology | 52 W Ludlow Point Rd, Port Ludlow, WA 98365-8786 | 2005-11-23 |
| 1356732937 | Mitzi Sturzu | Counselor | 117 Village Way, Port Ludlow, WA 98365-8792 | 2015-02-18 |
| 1548330483 | Gerald Thomas Brady | Chiropractor | 119 Village Way, Port Ludlow, WA 98365-8792 | 2006-11-08 |
| 1598105538 | Stephen P Porter, Dmd, Ps | Dentist | 9522 Oak Bay Rd, Ste 400, Port Ludlow, WA 98365-9202 | 2013-07-03 |
| Find all providers in zip 98365 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548330483 | Gerald Thomas Brady | Chiropractor | 119 Village Way, Port Ludlow, WA 98365-8792 | 2006-11-08 |
| 1316134919 | Gerald T Brady Chiropractic Professional Corp | Chiropractor | 119 Village Way, Port Ludlow, WA 98365 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1134726417 | Logan Chavez | Chiropractor | 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926-5423 | 2020-10-08 |
| 1467059212 | Anderson Chiropractic Corporation, P.s. | Chiropractor | 6720 Regents Blvd Ste 108, University Place, WA 98466-5400 | 2020-10-05 |
| 1063019966 | Madison Allen | Chiropractor | 12339 Clubhouse Ln, Mukilteo, WA 98275-5577 | 2020-10-04 |
| 1528675527 | Joseph Gonzalez | Chiropractor | 1218 Ne 88th St Ste 108, Vancouver, WA 98665-9696 | 2020-09-24 |
| 1124633466 | Nolan Craig Ethridge | Chiropractor | 11515 Burnham Dr # 101, Gig Harbor, WA 98332-8543 | 2020-09-14 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1174135925 | Brent Duncan | Chiropractor | 4813 Sw Walker St, Seattle, WA 98116-2149 | 2020-08-21 |
| 1336750900 | Hanchuan Ma | Chiropractor | 4744 41st Ave Sw Apt 415, Seattle, WA 98116-4568 | 2020-08-16 |
| 1285244079 | Wellness Group Pllc | Chiropractor | 2007 152nd Ave Ne Ste W, Redmond, WA 98052-5521 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT LUDLOW |
| Zip Code | 98365 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.