Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Oren Edwin Pedersen, PA-C

Individual provider Physician Assistant · NPI 1679910673

Mr. Oren Edwin Pedersen, PA-C is a Physician Assistant in Wasilla, Alaska. Qualified in 2013, 13 years ago. Practices with Mat-Su Valley III LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

950 E Bogard Rd Ste 103
Wasilla, AK 99654-7184
Phone: (907) 352-2880
Fax: (509) 385-0670
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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 PA60418997 (WA)

Record details

NPI number1679910673
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2013
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mat-Su Valley Iii Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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