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

Timothy S Pederson, MD

Individual provider Anesthesiology Physician · NPI 1154353399

Timothy S Pederson, MD is an Anesthesiology in Portland, Oregon. Graduated from University of Minnesota Medical School in 2012, 14 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
14
Trained at
University of Minnesota Medical School
Licensed in
MA, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 SW Washington St Ste 700
Portland, OR 97205-3536
Phone: (503) 299-9906
Fax: (503) 225-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD154531 (OR)
Anesthesiology Physician Taxonomy 207L00000X · Licence 213447 (MA)

Record details

NPI number1154353399
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESOctober 18, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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