Ben Lawrence Pederson (NPI# 1073856142, PAC ID# 8022259613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073856142 |
| PAC ID by PECOS | 8022259613 |
| Professional Enrollment ID | I20150623002865 |
| Full Name | Ben Lawrence Pederson |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
10330 Se 32nd Ave Suite 205 Milwaukie OR 97222-6594 |
| Phone Number | 5035138950 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380082 | PROVIDENCE MILWAUKIE HOSPITAL |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6594 | 5035138950 | PROVIDENCE HEALTH AND SERVICES OREGON |
| 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954 | 5032159850 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
10330 SE 32ND AVE SUITE 205 |
| City | MILWAUKIE |
| State | OR |
| Zip | 97222-6594 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Risa K Vanantwerp | Physician Assistant | Northwest Ent and Allergy Care Inc | 10330 Se 32nd Ave, Suite 320, Milwaukie, OR 97222-6596 |
| Oriana P Maldonado | Qualified Audiologist | Northwest Ent and Allergy Care Inc | 10330 Se 32nd Ave, Suite 320, Milwaukie, OR 97222-6596 |
| Katherine E Forba | Physician Assistant | Providence Health and Services Oregon | 10330 Se 32nd Ave, Milwaukie, OR 97222-6594 |
| Sean Michael Simons | Physician Assistant | Providence Health and Services Oregon | 10330 Se 32nd Ave, Milwaukie, OR 97222-6594 |
| Mari Eline Olk | Physician Assistant | Northwest Ent and Allergy Care Inc | 10330 Se 32nd Ave, Suite 320, Milwaukie, OR 97222-6596 |
| Theodore Allen Foster Iii | Internal Medicine | Providence Health and Services Oregon | 10330 Se 32nd Ave, 210 Prov Hr Cl Milwaukie, Milwaukie, OR 97222-6594 |
| Alexandra M Dressen | Physician Assistant | Providence Health and Services Oregon | 10330 Se 32nd Ave, Milwaukie, OR 97222-6594 |
| Jennifer M Hill | Psychologist, Clinical | Providence Health and Services Oregon | 10330 Se 32nd Ave, Suite 305, Milwaukie, OR 97222-6596 |
| Stephanie S Warye | Physician Assistant | Providence Health and Services Oregon | 10330 Se 32nd Ave, Milwaukie, OR 97222-6594 |
| Lori M Tam | Cardiovascular Disease (cardiology) | Providence Health and Services Oregon | 10330 Se 32nd Ave, 210 Prov Hr Cl Milwaukie, Milwaukie, OR 97222-6594 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Sims | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
| Dokken H Ramey | Chiropractic | Scsm Inc | 4370 Se King Rd, Suite 220, Milwaukie, OR 97222-1611 |
| Tricia L Tollenaar | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| David C Hatch | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Jill M Thomas | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Landon N Sessions | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Andrew J Gould | Certified Registered Nurse Anesthetist (crna) | Anesthesia Associates Northwest LLC | 6400 Se Lake Rd, Suite 130, Portland, OR 97222-2129 |
| Matthew T Sugalski | Orthopedic Surgery | 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2138 | |
| Sarah L Landrey | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
| Daniel B Combs | Psychologist, Clinical | Cornerstone Clinical Services PC | 6400 Se Lake Rd, Suite 325, Milwaukie, OR 97222-2185 |
| Find all physicians in zip 97222 | |||
| City | MILWAUKIE |
| Zip Code | 97222 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MILWAUKIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ben Lawrence Pederson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.