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

Ryan D Pederson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1063605384

Ryan D Pederson, DPM is a Podiatry in Coos Bay, Oregon. Qualified in 2007, 19 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1900 Woodland Dr
Coos Bay, OR 97420-2099
Phone: (541) 267-5151
Fax: (541) 266-4506
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DP151127 (OR)

Record details

NPI number1063605384
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 21, 2007
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020
Mailing address1900 Woodland Dr, Coos Bay, OR 97420-2099

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Bend Medical Center Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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