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Kim R Pederson, MHSPA-C
Physician Assistant in Vancouver, Washington
NPI 1730278037

Kim R Pederson is a Physician Assistant based in Vancouver, WA. Kim R Pederson practices in Vancouver, WA and has the professional credentials of MHSPA-C. The NPI Number for Kim R Pederson is 1730278037 and holds a License No. 10200 (Washington).

The current practice location address for Kim R Pederson is 501 Se 172Nd Ave, Vancouver, WA and can be reached out via phone at 360-882-2778 and via fax at 360-604-1712. You can also correspond with Kim R Pederson through the mailing address at 700 NE 87TH AVE, VANCOUVER, WA - 98664-1913 (mailing address contact number: 360-882-2778).

Location: 501 Se 172Nd Ave, Vancouver, WA, 98664-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730278037
Provider Name
Kim R Pederson
Credential
MHSPA-C
Provider Entity Type
Individual
Gender
Female
Address
501 Se 172Nd Ave, Vancouver, WA, 98664-1913
Phone Number
360-882-2778
Fax Number
360-604-1712
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41952400 05 WI
institution
Provider Business Practice Location Address Details
Address
501 Se 172Nd Ave
City
Vancouver
State
Washington
Zip
98684-9542
Phone Number
360-882-2778
Fax Number
360-604-1712
person
Provider Business Mailing Address Details
Address
501 Se 172Nd Ave
City
Vancouver
State
Washington
Zip
98684-9542
Phone Number
360-882-2778
Fax Number
360-604-1712
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA1356 (Maine)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
10200 (Minnesota)
Definition
Definition to come...
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