Pedersen, Jessica Suzanne

Pedersen, Jessica Suzanne is an sole proprietor health care provider with primary practice located at 812 Nw 12Th St , Pendleton OR 97801. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Pedersen, Jessica Suzanne can be contacted via phone (541) 310-8572.

Contact Information

Primary practice address
812 Nw 12Th St Pendleton OR 97801
Phone: (541) 310-8572
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 20139 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 60540879 Washington

Profile Details

NPI number 1073995429
LBN Legal business name Pedersen, Jessica Suzanne
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2015
Last updated Sep 1st, 2018 - about 7 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.

Request for update

Popular Providers