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

Jeffrey R Pedersen, DO

Individual provider Family Medicine Physician · NPI 1629151428

Jeffrey R Pedersen, DO is a Family Practice in Spokane Valley, Washington. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 1996, 30 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Washington.

Years since qualifying
30
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

14402 E Sprague Ave
Spokane Valley, WA 99216-2167
Phone: (509) 922-2625
Fax: (509) 922-4001
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 OP00001642 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence O221 (ID)

Record details

NPI number1629151428
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address14402 E Sprague Ave, Spokane Valley, WA 99216-2167

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 1996 (30 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Spokane Valley