| Dr Charles L Pederson, MD, MPH | |
|
1100 7th Ave Sw, Albany, OR 97321-1925 | |
| (541) 812-5600 | |
| Not Available |
| Full Name | Dr Charles L Pederson |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 1100 7th Ave Sw, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093741803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD25028 (Oregon) | Primary |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
| Entity Name | Doctors Emergency Room Corp Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles L Pederson, MD, MPH Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Charles L Pederson, MD, MPH 1100 7th Ave Sw, Albany, OR 97321-1925 Ph: (541) 812-5600 |
Dr. Luci Mario Kovacevic, M.D., M.P.H. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 7th Ave Sw, Albany, OR 97321 Phone: 541-812-5600 | |
Anne R Christensen, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1100 7th Ave Sw, Albany, OR 97321 Phone: 541-812-5600 |