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

Individual provider Physical Therapist · NPI 1184772600

Lynne Marie Pedersen, DPT is a Physical Therapist in Private Practice in Portland, Oregon. Qualified in 1996, 30 years ago. Practices with New Proactive LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
30
Licensed in
OR, WA
In the registry since
2007
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9828 E Burnside Ste #250
Portland, OR 97216-2365
Phone: (503) 254-3424
Fax: (503) 254-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (OR)
Physical Therapist Taxonomy 225100000X · Licence 4951 (OR)
Physical Therapist Taxonomy 225100000X · Licence PT00007233 (WA)

Record details

NPI number1184772600
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 8, 2007
Last updated in NPPESMay 9, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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