Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffrey R Pedersen, DO

Family Medicine Physician in Spokane Valley, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629151428

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Registry record

Entity type Individual (Type 1)

Name Jeffrey R Pedersen

Credential DO

Sex Male

Practice address 14402 E Sprague Ave, Spokane Valley, WA, 99216

Phone (509) 922-2625

Fax (509) 922-4001

Enumeration date Oct 23, 2006

Last updated in NPPES Apr 28, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License O221 (ID) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OP00001642 (WA) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
129223	Other	WA	WA LABOR & INDUSTRIES
S3143	Other	ID	BLUE CROSS
000010005518	Other	ID	REGENCE BLUESHIELD
1043078	Medicaid	WA	-
805453200	Medicaid	ID	-
1301819	Other	ID	DMERC
805453200	Other	ID	HEALTHY CONNECTIONS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Jeffrey Pedersen?

Jeffrey Pedersen is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-28.