Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ben Lawrence Pederson, MD

Individual provider Family Medicine Physician · NPI 1073856142

Dr. Ben Lawrence Pederson, MD is a Family Practice in Portland, Oregon. Graduated from University of Minnesota Medical School in 2013, 13 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Trained at
University of Minnesota Medical School
Licensed in
OR
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4104 SE 82nd Ave Ste 250
Portland, OR 97266-2954
Phone: (503) 215-9850
Fax: (503) 215-9855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD171441 (OR)

Record details

NPI number1073856142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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