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1073856142
BEN LAWRENCE PEDERSON
PORTLAND, OR
NPI
1073856142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD171441)
Enumeration Date
2013-03-27
Last Update Date
2020-10-05
Business Address
Dr. BEN LAWRENCE PEDERSON M.D.
4104 SE 82ND AVE STE 250
PORTLAND, OR 97266-2954
Phone number: 503-215-9850
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Mailing Address
Dr. BEN LAWRENCE PEDERSON M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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