Kim R Pederson, MHSPA-C
Kim R Pederson, MHSPA-C is a Physician Assistant in Vancouver, Washington. Licensed in Maine, Minnesota and Washington. Registered with an NPI since 2006.
- Licensed in
- ME, MN, WA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
501 SE 172nd AveVancouver, WA 98684-9542
Phone: (360) 882-2778
Fax: (360) 604-1712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA60511027 (WA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 10200 (MN) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA1356 (ME) |
Record details
| NPI number | 1730278037 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MHSPA-C |
| Sole proprietor | No |
| NPI enumerated | October 12, 2006 |
| Last updated in NPPES | March 3, 2015 |
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